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HCPCS 99203

99203 OFFICE OUTPATIENT NEW 30 MINUTES - BC

Reported by 29 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$64

Average

$191

Median

$162

High

$480

Hospitals reporting this code

#HospitalLocation
1Aiken Regional Medical CentersWashington, DC—$166$159—$63
2Northwest Texas Healthcare SystemAmarillo, TX—$353$480—$292
3Castle Medical CenterKailua, HI$29$73$99$162$37
4Northwest Medical Foundation Of TillamookTillamook, OR$63$215$200$319$59
5Ukiah Adventist HospitalUkiah, CA$57$159$189$505$72
6Adventist Health Medical Center TehachapiTehachapi, CA$57$80$105$685$37
7Sonora Community HospitalSonora, CA$57$162$193$353$71
8Glendale Adventist Medical CenterGlendale, CA$57$243$376$1.5k$272
9Twin Cities Community Hospital IncTempleton, CA$41$247$294$897$107
10Mid Columbia Medical CenterDalles, OR$70$150$154$299$19
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