CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Falls Community Hospital and Clinic

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$110
about 0.9× the $118 Medicare rate · typically $81–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Below the fair price — a good deal
about $29 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $110 This hospital $81 Cash price $218 Hospital's list price $273

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 $81

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 $110 (about 0.9× the $118 Medicare rate). Falls Community Hospital and Clinic charges insurers about $81, or about $218 in cash — below the fair price — a good deal. Located in Marlin, TX.

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 $81 - $212 69%
Blue Cross Blue Shieldmajor $349 297%
Aetnamajor $162 - $242 138%
Cignamajor $40 - $55 34%
Humanamajor $81 69%
Baylor Scott & White $81 69%

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: 322 Coleman Street, Marlin, TX 76661
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital