CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Phoenix Children's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $41–$263
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $60 under the fair price · 0.3× Medicare
Medicare pays $118 Fair price $99 This hospital $39 Hospital's list price $264

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Lowest price of the 9 AZ hospitals we have prices for — a strong deal.

Cheapest $39 Priciest $55

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $99 (about 0.8× the $118 Medicare rate). Phoenix Children's Hospital charges insurers about $39 — below the fair price — a good deal. Located in Phoenix, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $113 - $126 96%
Aetnamajor $119 - $196 101%
Cignamajor $181 - $214 154%
+ 13 smaller / regional plans $22 - $174
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens