CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Cody Regional Health

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $209
Cash Discount Price: $267
vs. Medicare Baseline: 1.78x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Cody Regional Health is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.78x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$267

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $267 (227%)

Insurance Median: $209 (178%)

Cash: $267 (227% of Medicare)

Ins. Median: $209 (178% 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
Mountain Health - All Plans	$70 - $368	60%
Tricare	$70 - $188	60%
Medica Comm - All Other Plans	$79 - $368	67%
Pacific Source - All Plans	$122 - $368	104%
Blue Cross Blue Shield	$133 - $389	113%
Christian Hlthcare - All Plans	$176 - $327	150%
Cigna	$198 - $325	168%
First Choice Health - All Plans	$198 - $368	168%
Humana	$198 - $380	168%
Interwest Health Ppo - All Plans	$202 - $376	172%
First Health Ntwrk-All Plans	$205 - $380	174%
Three Rivers - All Plans	$209 - $389	178%
UnitedHealthcare	$209 - $380	178%
Rocky Mtn Admin - All Plans	$368	313%

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 $267.
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 Cody Regional Health 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.