CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Park City Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $81
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Park City Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.69x the Medicare baseline. Located in 900 Round Valley Drive, Park City, UT.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $70 (60%)
Insurance Median: $81 (69%)
Cash: $70 (60% of Medicare)
Ins. Median: $81 (69% 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
Donor Connect $27 23%
Corporation Of The President $70 60%
Corvel Corporation $70 60%
Injury Care Of Nevada $70 60%
Wcf Insurance $70 60%
Blue Cross Blue Shield $79 - $108 67%
Byu Risk Management $79 67%
Cigna $79 - $83 67%
Global Excel $79 67%
Medcare International $79 67%
Molina $79 - $108 67%
Springtide $79 67%
Uofu $79 67%
Aetna $81 - $108 69%
American Health $81 - $108 69%
Byu Athletics $81 69%
Campbell Scientific $81 69%
Emi Health $81 69%
Franklin County $81 69%
Health Partners Of Nevada $81 - $108 69%
Health Plan Of Nevada $81 - $108 69%
Healthy U $81 - $108 69%
Humana $81 - $108 69%
Ifit $81 69%
Juniper Systems $81 69%
Lw Miller $81 69%
Managed Care Admin $81 69%
Motivhealth $81 69%
Prodegi Corp Benefit $81 69%
Selecthealth $81 - $108 69%
Tanner Llc $81 69%
UnitedHealthcare $81 - $108 69%
Utah Tech $81 69%
Wise Network $81 69%
Awh Connected $83 - $84 71%
Deseret Mutual $83 71%
Emi $83 71%
Pehp $83 - $84 71%
Health Utah $84 71%
Hygeia Corporation $84 71%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Round Valley Drive, Park City, UT 84060
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals