CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Lincoln Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $109
Cash Discount Price: $152
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Lincoln Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.93x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $152 (129%)

Insurance Median: $109 (93%)

Cash: $152 (129% of Medicare)

Ins. Median: $109 (93% 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
Ambetter / Centene	$39 - $102	33%
Molina Hlthy Options	$39 - $102	33%
UnitedHealthcare	$39 - $191	33%
Amerigroup Mcaid - All Plans	$41 - $108	35%
Aetna	$47 - $236	40%
Indian Hlth Services - All Plans	$47 - $236	40%
Tricare	$47 - $236	40%
Va Ccn - All Plans	$47 - $236	40%
Cigna	$63 - $166	54%
Focus Healthcare Mgmt - All Plans	$66 - $174	56%
Molina Exchange-All Other Plans	$66 - $335	56%
Asuris Nw Health-All Plans	$72 - $200	61%
Blue Cross Blue Shield	$73 - $191	62%
Uniform Medical Plan-All Plans	$73 - $191	62%
First Health Coventry-All Plans	$74 - $193	63%
Health Management Network-All Plans	$75 - $196	64%
Three Rivers-All Plans	$75 - $196	64%
Multiplan-All Plans	$79 - $207	67%
Physician Hosp Comm Org-All Plans	$79 - $207	67%
First Choice Health- All Plans	$81 - $211	69%
Labor & Industries - All Plans	$145	123%

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 $152.
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 Lincoln Hospital 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.