CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Paradise Valley Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$84
about 0.9× the $95 Medicare rate · typically $36–$169
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $50 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $84 This hospital $34 Hospital's list price $178

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 $18 Priciest $34

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

A fair price for a Office visit, established patient (20-29 min) is about $84 (about 0.9× the $95 Medicare rate). Paradise Valley Hospital charges insurers about $34 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $34 36%
Blue Cross Blue Shieldmajor $73 77%
Aetnamajor $34 36%
Health Net $37 39%
Molina $34 36%
+ 6 smaller / regional plans $34 - $41
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