CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Parkland Health & Hospital System

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $98
Cash Discount Price: $166
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Parkland Health & Hospital System is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.83x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $166 (141%)

Insurance Median: $98 (83%)

Cash: $166 (141% of Medicare)

Ins. Median: $98 (83% 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.

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 Cross Blue Shield	$49 - $298	42%
Care Improvement Plus [1104]	$60 - $132	51%
Delta Dental Insurance Company [1151]	$60 - $71	51%
Medicare (plans)	$60 - $78	51%
Procare Advantage [2104]	$60 - $134	51%
Triwest Healthcare Alliance [1409]	$60 - $71	51%
UnitedHealthcare	$60 - $421	51%
Wellcare Of Texas [1330]	$60 - $73	51%
Cook Children Health Plan [1380]	$63 - $100	54%
Wellpoint [1007]	$63 - $464	54%
Aetna	$66 - $487	56%
Parkland Chip Perinate [1320]	$66 - $100	56%
Parkland Community Health Plan [1056]	$66 - $487	56%
Superior Health Plan [1402]	$66 - $133	56%
Molina [1382]	$69 - $510	59%
Point Comfort Underwriters [1801]	$69 - $105	59%
Molina Aca [1337]	$100 - $118	85%
Cigna	$195 - $379	166%
Superior Healthplan [1383]	$244 - $373	208%
Great West Healthcare [1037]	$248 - $379	211%

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 $166.
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 Parkland Health & Hospital System 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.