CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Hancock County Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $119
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Hancock County Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.01x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $39 (33%)
Insurance Median: $119 (101%)
Cash: $39 (33% of Medicare)
Ins. Median: $119 (101% 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
Sentara Health $43 - $119 37%
UnitedHealthcare $48 - $119 41%
Blue Cross Blue Shield $65 - $126 55%
Cigna $78 - $125 66%
Medcost $80 68%
Aetna $119 - $120 101%
Ambetter / Centene $119 101%
Amerigroup $119 101%
Managed Medicaire $119 101%
Medicare (plans) $119 101%
United Mine Workers Of America $119 101%
Wellcare $119 - $168 101%
Humana $121 103%
Devoted Health Plan $125 106%
Molina Healthcare $125 106%
Nhc Advantage $125 106%
First Health Coventry $134 114%
Seven Corners, Inc. $168 143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1519 Main Street Hwy 33, Sneedville, TN 37869
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals