CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Crossing Rivers Health Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $228
Cash Discount Price: $245
vs. Medicare Baseline: 1.94x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Crossing Rivers Health Medical Center is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.94x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $245 (208%)

Insurance Median: $228 (194%)

Cash: $245 (208% of Medicare)

Ins. Median: $228 (194% 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
Humana	$67 - $274	57%
Security Hlth Comm - All Other Plans	$67 - $271	57%
UnitedHealthcare	$67 - $120	57%
Amerigroup Mcaid-All Other Plans	$74	63%
Iowa Total Care Mcaid-All Plans	$74	63%
Wps - All Plans	$84 - $276	71%
Amerigroup Mcr Adv	$120	102%
Blue Cross Blue Shield	$120 - $276	102%
Security Hlth Mcr Adv	$120	102%
Quartz - All Plans	$150 - $228	128%
Group Health Co-Op - All Plans	$178 - $276	151%
Dean Health Plan - All Plans	$212 - $271	180%
Health Trad Hp - All Plans	$214 - $274	182%
Cigna	$216 - $276	184%
First Health - All Plans	$216 - $276	184%
Geha - All Plans	$216 - $276	184%
Health Partners - All Plans	$216 - $276	184%
Medical Associates Hp - All Plans	$216 - $276	184%
Medica Comm - All Other Plans	$271	231%
Medica Hp Solutions	$271	231%
Wea Provider Ntwrk - All Plans	$274	233%
Preferred Health Choice - All Plans	$276	235%

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 $245.
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 Crossing Rivers Health Medical Center 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.