CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Comanche County Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $85
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Comanche County Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.72x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $88 (75%)
Insurance Median: $85 (72%)
Cash: $88 (75% of Medicare)
Ins. Median: $85 (72% 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
Choicecare Comm - All Other Plans $50 43%
Choicecare Mcr Adv $50 43%
Humana $50 - $94 43%
Molina Mcr Adv - All Other Plans $50 43%
Pphp Mcr Adv - All Plans $50 43%
Superior Epo/Hmo - All Plans $50 43%
Swhp Mcr Adv $50 43%
Wellmed Mcr Adv - All Plans $50 43%
Alliance Wc - All Plans $75 64%
Aetna $85 72%
Molina Mcaid $85 72%
Swhp Mcaid $85 72%
Cigna $88 75%
Occunet - All Plans $101 86%
Swhp Comm - All Other Plans $108 92%
First Care Hmo - All Other Plans $115 98%
First Care Hmo Self Funded $115 98%
Mpi - All Plans $122 104%
Blue Cross Blue Shield $205 - $215 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals