CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Medical City Las Colinas

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $169
Cash Discount Price: $307
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Medical City Las Colinas is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.44x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.

Cash / Self-Pay

$307

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $307 (261%)

Insurance Median: $169 (144%)

Cash: $307 (261% of Medicare)

Ins. Median: $169 (144% 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	$22	19%
Aetna	$41 - $224	35%
Cigna	$41 - $43	35%
United	$55	47%
Imperial Insurance Company	$58	49%
Healthcare Highways	$75 - $104	64%
Evry Health	$79	67%
Unicare	$108 - $307	92%
Curative Administrators	$123	105%
Blue Cross Blue Shield	$136 - $415	116%
City Of Mckinney	$138	117%
National Choicecare	$154	131%
Pc Texas Partners	$169	144%
Physicians Coop Of Tx	$169	144%
Rockport Health Group	$169	144%
Averde Health, Inc	$178	151%
Humana	$213	181%
Coastal Comp Health Networks	$215	183%
Mega Life	$215	183%
Multiplan Phcs	$215	183%
Healthsmart Preferred Care	$218	185%
Lewisville Isd/Dls Consulting	$231	196%
Usa Managed Care	$246	209%
Usc Health Services	$246	209%
Galaxy Health Network	$261	222%
Independent Medical Systems	$307	261%
National Healthcare Solutions	$307	261%

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 $307.
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 Las Colinas 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.