CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Medical City Fort Worth

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $92
Cash Discount Price: $166
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Medical City Fort Worth is $92. 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 0.78x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $92 (78%)

Cash: $166 (141% of Medicare)

Ins. Median: $92 (78% 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
Cigna	$22 - $88	19%
Aetna	$27 - $98	23%
United	$31	26%
Imperial Insurance Company	$32	27%
Unicare	$37 - $166	31%
Healthcare Highways	$41 - $56	35%
Evry Health	$43	37%
Curative Administrators	$67	57%
Blue Cross Blue Shield	$74 - $415	63%
City Of Mckinney	$75	64%
Fidelis Securecare	$75	64%
Emerging Therapy Solutions	$83 - $120	71%
National Choicecare	$83	71%
Pc Texas Partners	$92	78%
Physicians Coop Of Tx	$92	78%
Rockport Health Group	$92	78%
Averde Health, Inc	$97	83%
Coastal Comp Health Networks	$117	100%
Mega Life	$117	100%
Multiplan Phcs	$117	100%
Healthsmart Preferred Care	$118	100%
Lewisville Isd/Dls Consulting	$125	106%
Tcu Athletics	$133	113%
Usa Managed Care	$133	113%
Usc Health Services	$133	113%
Galaxy Health Network	$141	120%
UnitedHealthcare	$143	122%
Independent Medical Systems	$166	141%
National Healthcare Solutions	$166	141%
Humana	$213	181%

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 Medical City Fort Worth 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.