SelfPayRates — hospital cash prices, from the source
Cash prices at 1 facility for code 99203, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 13, 2026 and Feb 13, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Little Company of Mary Hospital of Indiana Inc
JASPER, IN PR MEDICAID- 99204= RVU --> BILL 99203 |
$87.15 | $249.00 | 65% | Feb 13, 2026 file |
|
| Little Company of Mary Hospital of Indiana Inc
JASPER, IN PR MEDICAID- 99205= RVU --> BILL 99203 |
$87.15 | $249.00 | 65% | Feb 13, 2026 file |
|
| Little Company of Mary Hospital of Indiana Inc
JASPER, IN PR MEDICAID- 99244=RVU--> BILL 99203 |
$87.15 | $249.00 | 65% | Feb 13, 2026 file |
|
| Little Company of Mary Hospital of Indiana Inc
JASPER, IN PR MEDICAID- 99245=RVU--> BILL 99203 |
$87.15 | $249.00 | 65% | Feb 13, 2026 file |
|
| Little Company of Mary Hospital of Indiana Inc
JASPER, IN PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES |
$87.15 | $249.00 | 65% | Feb 13, 2026 file |
Outpatient: lowest $87.15, median $87.15, highest $87.15.
As an inpatient, the same code is billed by 1 facility here, median $87.15. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.