CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Baptist Memorial Hospital Union City

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $230
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Baptist Memorial Hospital Union City is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.96x the Medicare baseline. Located in 1201 Bishop St, Po Box 310, Union City, TN.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $75 (64%)
Insurance Median: $230 (196%)
Cash: $75 (64% of Medicare)
Ins. Median: $230 (196% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $66 - $235 56%
Magnolia Tn $78 66%
Blue Cross Blue Shield $142 - $225 121%
Ppo Holdings $142 121%
Magnolia Regional Health Center $150 128%
Cigna $162 138%
Littler $188 160%
UnitedHealthcare $216 184%
Oscar $244 208%
Humana $248 211%
First Choice Health Plan Of Ms $262 223%
Mpcn $281 239%
Multiplan $281 239%
Novasys $281 239%
Ppo Plus $319 271%
Qca $338 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 Bishop St, Po Box 310, Union City, TN 38261
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals