CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Memorial Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$118
about 1.0× the $118 Medicare rate · typically $78–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$159
Above the fair price
about $41 over the fair price · 1.3× Medicare
Medicare pays $118 Fair price $118 This hospital $159 Cash price $190 Hospital's list price $272

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $159

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $118 (about 1.0× the $118 Medicare rate). Memorial Medical Center charges insurers about $159, or about $190 in cash — above the fair price. Located in Port Lavaca, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $118. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $100 - $457 85%
Blue Cross Blue Shieldmajor $75 - $159 64%
Aetnamajor $64 - $457 54%
Cignamajor $119 - $428 101%
Humanamajor $80 - $457 68%
Ambetter (Centene) $32 - $259 27%
Amerigroup $48 - $274 41%
Health Net $80 - $457 68%
Healthcare Highways $65 - $457 55%
Molina $48 - $274 41%
+ 13 smaller / regional plans $48 - $485
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals