CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Medical City Arlington

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $213
Cash Discount Price: $423
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Medical City Arlington is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.81x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.

Cash / Self-Pay

$423

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $423 (360%)

Insurance Median: $213 (181%)

Cash: $423 (360% of Medicare)

Ins. Median: $213 (181% 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
Superior Health Plan	$30	26%
Aetna	$57 - $308	48%
Cigna	$57 - $59	48%
Imperial Insurance Company	$80	68%
Unicare	$80 - $423	68%
United	$80	68%
Healthcare Highways	$104 - $143	88%
Evry Health	$109	93%
Curative Administrators	$169	144%
Blue Cross Blue Shield	$188 - $415	160%
City Of Mckinney	$190	162%
Fidelis Securecare	$190	162%
Global Sports Services	$212	180%
National Choicecare	$212	180%
Humana	$213	181%
Pc Texas Partners	$233	198%
Physicians Coop Of Tx	$233	198%
Rockport Health Group	$233	198%
Averde Health, Inc	$245	208%
Coastal Comp Health Networks	$296	252%
Mega Life	$296	252%
Multiplan Phcs	$296	252%
Healthsmart Preferred Care	$300	255%
Lewisville Isd/Dls Consulting	$317	270%
Usa Managed Care	$338	287%
Usc Health Services	$338	287%
Galaxy Health Network	$360	306%
Texas Instruments	$381	324%
Independent Medical Systems	$423	360%
National Healthcare Solutions	$423	360%

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 $423.
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 Arlington 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.