CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Titus Regional Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $84
  • Cash Discount Price: $200
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Titus Regional Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.71x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.
Cash / Self-Pay
$200

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $200 (170%)
Insurance Median: $84 (71%)
Cash: $200 (170% of Medicare)
Ins. Median: $84 (71% 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
Christus Health Plan $58 49%
Humana $58 49%
Tricare $58 49%
Triwest $58 49%
UnitedHealthcare $58 - $262 49%
Texas Mutual $60 51%
Curative $64 54%
Superior $65 55%
Blue Cross Blue Shield $80 - $88 68%
Claritev $104 88%
Healthcare Highways $109 93%
Aetna $124 105%
Healthsmart $234 199%
Cigna $267 227%
Galaxy Health $317 270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals