CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Paradise Valley Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$101
about 0.9× the $118 Medicare rate · typically $55–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
Below the fair price — a good deal
about $19 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $101 This hospital $82 Hospital's list price $282

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $82

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

A fair price for a New patient office visit (30-44 min) is about $101 (about 0.9× the $118 Medicare rate). Paradise Valley Hospital charges insurers about $82 — below the fair price — a good deal. Located in National City, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $82 70%
Aetnamajor $82 70%
Health Net $88 75%
Molina $82 70%
+ 6 smaller / regional plans $82 - $98
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals