CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 99203 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99203
- Insurance Median: $179
- Cash Discount Price: $235
- vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.52x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$235
Average discount available for prompt cash payment at this facility.
Insurance Median
$179
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$117.57
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $235 (200%)
Insurance Median: $179 (152%)
Cash: $235 (200% of Medicare)
Ins. Median: $179 (152% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Federal Prison [1031] | $21 - $156 | 18% |
| Aetna | $25 - $683 | 21% |
| Blue Cross Blue Shield | $25 - $917 | 21% |
| Cigna | $25 - $938 | 21% |
| Humana | $25 - $1,329 | 21% |
| Mc Blue Shield Generic Payor [164016] | $25 - $188 | 21% |
| Mc Blue Shield Hmo [164015] | $25 - $188 | 21% |
| Mc Brand New Day Generic Payor [164031] | $25 - $188 | 21% |
| Mc Brand New Day Hmo [164030] | $25 - $188 | 21% |
| Mc Healthnet Generic Payor [164010] | $25 - $188 | 21% |
| Mc Healthnet Hmo [164004] | $25 - $188 | 21% |
| Mc Hnet Blue&Gold Aco [164017] | $25 - $188 | 21% |
| Mc Scan Generic Payor [164034] | $25 - $188 | 21% |
| Mc Scan Hmo [164035] | $25 - $188 | 21% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $25 - $188 | 21% |
| UnitedHealthcare | $25 - $1,877 | 21% |
| Alameda Alliance For Health [2027] | $34 | 29% |
| Alignment Health Plan [2020] | $34 | 29% |
| Alternate Medi-Cal [2001] | $34 | 29% |
| Brand New Day [1089] | $34 | 29% |
| California Department Of Public Health [1237] | $34 | 29% |
| California Health & Wellness Medi-Cal [1122] | $34 | 29% |
| Caremore [2028] | $34 | 29% |
| Cms - County Medical Services [1025] | $34 - $1,017 | 29% |
| Community Care Ipa [1131] | $34 | 29% |
| Community Eldercare [1027] | $34 | 29% |
| Gold Coast Health Plan [2031] | $34 | 29% |
| Health Plan Of San Joaquin [2032] | $34 | 29% |
| Hemet Community Med Grp - Promisecare [1040] | $34 | 29% |
| Imperial Health Holdings [1132] | $34 | 29% |
| Kern Health Systems [2033] | $34 | 29% |
| La Care Health Plan [2025] | $34 | 29% |
| Medi-Cal [1048] | $34 | 29% |
| Medicaid / KanCare | $34 | 29% |
| Padres Workers Compensation [2013] | $34 - $252 | 29% |
| Padres [2014] | $34 - $252 | 29% |
| Regal Mg 'Heritage Provider Network' [2019] | $34 | 29% |
| San Diego County [1071] | $34 - $782 | 29% |
| Sd Physicians Med Grp [1076] | $34 - $1,017 | 29% |
| State Of California [1082] | $34 | 29% |
| Unlisted Mcal Hmo Non-Contract [1049] | $34 | 29% |
| Vantage [1092] | $34 - $938 | 29% |
| Ximed [2016] | $34 | 29% |
| Blue Shield Promise [1017] | $39 | 33% |
| Alternate Molina [1240] | $43 | 37% |
| Molina [1055] | $43 | 37% |
| Community Health Group [1022] | $44 | 37% |
| Health Net [1039] | $46 - $4,395 | 39% |
| Inland Empire Health Plan Transplant [1126] | $48 - $626 | 41% |
| Inland Empire Health Plan [1121] | $48 | 41% |
| Cal Optima [1016] | $49 | 42% |
| Mid County Physicians Med Grp [1054] | $76 - $563 | 65% |
| Multicultural Med Grp [1057] | $77 - $568 | 65% |
| Alternate Scan Health [2088] | $84 - $626 | 71% |
| Elizabeth Hospice [2018] | $84 - $626 | 71% |
| Scan Health [1072] | $84 - $626 | 71% |
| Scripps Clinic [1073] | $84 - $1,251 | 71% |
| Blue Shield [1014] | $90 - $945 | 77% |
| Olympus Managed Healthcare Inc [1102] | $92 - $683 | 78% |
| Alternate Healthnet [1007] | $99 - $1,564 | 84% |
| Usoc - Us Olympic Committee [1123] | $104 - $773 | 88% |
| Global Excel [1036] | $106 - $782 | 90% |
| Sharp Health Plan [1079] | $106 - $1,026 | 90% |
| Ucr Prompt Pay Payor [8240] | $116 | 99% |
| Alternate Blue Shield [2002] | $129 - $945 | 110% |
| Blue Shield Transplants [1113] | $129 - $945 | 110% |
| Alternate Sheriff Custody [1106] | $137 - $1,017 | 117% |
| Arch Health Partners [2000] | $137 - $1,017 | 117% |
| Axa Assistance [1098] | $137 - $1,017 | 117% |
| Cassidy Med Grp [1019] | $137 - $1,017 | 117% |
| Cmn - Canadian Medical Network [1024] | $137 - $1,017 | 117% |
| Ets - Lifetrac Network [1103] | $137 - $1,017 | 117% |
| Health Net Bh (Mhn) [1038] | $137 - $1,017 | 117% |
| Health Net Bh (Mhn) [2010] | $137 - $1,017 | 117% |
| Interlink Health Services Transplant [1124] | $137 - $1,017 | 117% |
| Interlink Health Transplant [2085] | $137 - $1,017 | 117% |
| Mgm Resorts [1053] | $137 - $1,017 | 117% |
| National Healthcare Solutions Inc [1100] | $137 - $1,017 | 117% |
| Quality Health [1069] | $137 - $1,017 | 117% |
| San Diego County Sheriff Custody [2012] | $137 - $1,017 | 117% |
| Scripps Coastal Med Grp [1074] | $137 - $1,017 | 117% |
| Tri-City [1085] | $137 - $1,017 | 117% |
| Graybill Med Grp [1037] | $138 - $1,026 | 117% |
| Sharp Community Med Grp [1078] | $138 - $1,026 | 117% |
| Sharp Rees Stealy [1080] | $138 - $1,026 | 117% |
| Alternate Health Net Bh [2059] | $139 - $1,034 | 118% |
| Healthnet Transplants [1114] | $139 - $1,034 | 118% |
| Kaiser [1046] | $141 - $1,048 | 120% |
| Embassy Sponsored [1101] | $143 - $1,095 | 122% |
| Interplan [1045] | $148 - $1,095 | 126% |
| Mercy Physicians Med Grp [1052] | $148 - $1,095 | 126% |
| Pacific Foundation [1063] | $148 - $1,095 | 126% |
| Beech Street [1012] | $158 - $1,173 | 134% |
| First Health [1032] | $158 - $1,173 | 134% |
| Admar [1001] | $162 - $1,204 | 138% |
| Bps - Benefit Plan Services [1015] | $162 - $1,204 | 138% |
| Multiplan [1058] | $162 - $1,204 | 138% |
| Private Healthcare Systems [1067] | $162 - $1,564 | 138% |
| Carnival Cruises [1018] | $169 - $1,251 | 144% |
| Scripps Health Plan Services [1075] | $169 - $1,251 | 144% |
| Alternate Kaiser Rad Onc [2089] | $211 - $1,564 | 179% |
| Champva [1020] | $211 - $1,564 | 179% |
| Chargers Football Company [1109] | $211 - $1,564 | 179% |
| Palomar Health [1128] | $253 - $1,877 | 215% |
| Easy Choice [1029] | $264 - $1,955 | 225% |
| Sharp Healthcare Transplant [1119] | $285 - $2,111 | 242% |