CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $214
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at University of Texas M. D. Anderson Cancer Center is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.82x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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%)
Insurance Median: $214 (182%)
Ins. Median: $214 (182% 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
Texaschildrens $31 - $125 26%
UnitedHealthcare $60 - $249 51%
Tricare $70 - $214 60%
Vacare $70 - $125 60%
Medicare (plans) $99 - $125 84%
Aetna $149 - $249 127%
Cigna $184 - $278 157%
Memorialhermannhealth $185 - $245 157%
Humana $196 - $271 167%
Blue Cross Blue Shield $197 - $220 168%
Ontarioministriesofhealth $211 - $242 179%
Beijingst.Lucia $214 - $245 182%
Embassyofqatar $214 - $245 182%
Emergingtherapysolutions $214 - $228 182%
Interlink $214 - $242 182%
Multiplan $215 - $245 183%
Phcs $215 - $245 183%
Emergingtherapysolutions_Cancercare $228 - $262 194%
Interlink_Cancercare $228 - $262 194%
Saudiarmedforces $228 - $262 194%
Uae_Medical $228 - $262 194%
Uaepoliceattache $228 - $262 194%
Healthsmart $242 - $278 206%
Vantage $242 - $278 206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL