CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Trident Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $401
Cash Discount Price: $847
vs. Medicare Baseline: 3.41x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Trident Medical Center is $401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $847. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 3.41x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$847

Average discount available for prompt cash payment at this facility.

Insurance Median

$401

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $847 (720%)

Insurance Median: $401 (341%)

Cash: $847 (720% of Medicare)

Ins. Median: $401 (341% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 341% of the Medicare baseline (a markup of 241%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Choice Health Plan	$74	63%
Blue Cross Blue Shield	$74 - $1,193	63%
Absolute Total Care	$97 - $226	83%
Aetna	$100 - $594	85%
Nhc Advantage	$126 - $239	107%
Pruitt Health	$126 - $239	107%
Sc State Employees	$136	116%
Medcost	$254 - $706	216%
United	$266 - $565	226%
Select Health	$286 - $540	243%
Employers Health Network	$299 - $565	254%
Occunet	$332 - $628	282%
Vocational Rehab	$359 - $678	305%
Humana	$432 - $942	367%
First Health	$485 - $917	413%
Mhnet	$498 - $942	424%
Evernorth	$531 - $1,005	452%
Multiplan	$564 - $1,068	480%
Prime Health	$564 - $1,068	480%
Novanet	$598 - $1,130	509%
United Behavioral Health	$664 - $1,256	565%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $847.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Trident Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.