CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Paradise Valley Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$122
about 0.9× the $136 Medicare rate · typically $51–$186
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Below the fair price — a good deal
about $68 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $122 This hospital $54 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 0 charge more and 4 charge less, among the 9 CA hospitals compared.

Cheapest $38 Priciest $54

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 (30-39 min) is about $122 (about 0.9× the $136 Medicare rate). Paradise Valley Hospital charges insurers about $54 — 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 $54 40%
Blue Cross Blue Shieldmajor $107 79%
Aetnamajor $54 40%
Health Net $58 43%
Molina $54 40%
+ 6 smaller / regional plans $54 - $65
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