CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 99214 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99214
- Insurance Median: $102
- Cash Discount Price: $113
- vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.75x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$113
Average discount available for prompt cash payment at this facility.
Insurance Median
$102
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$135.6
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $113 (83%)
Insurance Median: $102 (75%)
Cash: $113 (83% of Medicare)
Ins. Median: $102 (75% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $135.6 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] | $20 - $43 | 15% |
| Aetna | $24 - $128 | 18% |
| Blue Cross Blue Shield | $24 - $128 | 18% |
| Cigna | $24 - $128 | 18% |
| Humana | $24 - $175 | 18% |
| Mc Blue Shield Generic Payor [164016] | $24 - $25 | 18% |
| Mc Blue Shield Hmo [164015] | $24 - $25 | 18% |
| Mc Brand New Day Generic Payor [164031] | $24 - $25 | 18% |
| Mc Brand New Day Hmo [164030] | $24 - $25 | 18% |
| Mc Healthnet Generic Payor [164010] | $24 - $25 | 18% |
| Mc Healthnet Hmo [164004] | $24 - $25 | 18% |
| Mc Hnet Blue&Gold Aco [164017] | $24 - $25 | 18% |
| Mc Scan Generic Payor [164034] | $24 - $25 | 18% |
| Mc Scan Hmo [164035] | $24 - $25 | 18% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $24 - $25 | 18% |
| UnitedHealthcare | $24 - $247 | 18% |
| Padres Workers Compensation [2013] | $32 - $33 | 24% |
| Padres [2014] | $32 - $33 | 24% |
| Alameda Alliance For Health [2027] | $34 - $43 | 25% |
| Alignment Health Plan [2020] | $34 - $43 | 25% |
| Alternate Medi-Cal [2001] | $34 - $43 | 25% |
| Brand New Day [1089] | $34 - $43 | 25% |
| California Department Of Public Health [1237] | $34 - $43 | 25% |
| California Health & Wellness Medi-Cal [1122] | $34 - $43 | 25% |
| Caremore [2028] | $34 - $43 | 25% |
| Cms - County Medical Services [1025] | $34 - $134 | 25% |
| Community Care Ipa [1131] | $34 - $43 | 25% |
| Community Eldercare [1027] | $34 - $43 | 25% |
| Gold Coast Health Plan [2031] | $34 - $43 | 25% |
| Health Plan Of San Joaquin [2032] | $34 - $43 | 25% |
| Hemet Community Med Grp - Promisecare [1040] | $34 - $43 | 25% |
| Imperial Health Holdings [1132] | $34 - $43 | 25% |
| Kern Health Systems [2033] | $34 - $43 | 25% |
| La Care Health Plan [2025] | $34 - $43 | 25% |
| Medi-Cal [1048] | $34 - $43 | 25% |
| Medicaid / KanCare | $34 - $43 | 25% |
| Regal Mg 'Heritage Provider Network' [2019] | $34 - $128 | 25% |
| San Diego County [1071] | $34 - $103 | 25% |
| Sd Physicians Med Grp [1076] | $34 - $134 | 25% |
| State Of California [1082] | $34 - $43 | 25% |
| Unlisted Mcal Hmo Non-Contract [1049] | $34 - $43 | 25% |
| Vantage [1092] | $34 - $124 | 25% |
| Ximed [2016] | $34 - $43 | 25% |
| Blue Shield Promise [1017] | $39 - $49 | 29% |
| Ucr Prompt Pay Payor [8240] | $40 - $116 | 29% |
| Alternate Molina [1240] | $43 - $54 | 32% |
| Molina [1055] | $43 - $54 | 32% |
| Community Health Group [1022] | $44 - $56 | 32% |
| Health Net [1039] | $46 - $579 | 34% |
| Inland Empire Health Plan Transplant [1126] | $48 - $82 | 35% |
| Inland Empire Health Plan [1121] | $48 - $60 | 35% |
| Cal Optima [1016] | $49 - $62 | 36% |
| Mid County Physicians Med Grp [1054] | $71 - $74 | 52% |
| Multicultural Med Grp [1057] | $72 - $75 | 53% |
| Alternate Scan Health [2088] | $79 - $82 | 58% |
| Elizabeth Hospice [2018] | $79 - $82 | 58% |
| Scan Health [1072] | $79 - $82 | 58% |
| Scripps Clinic [1073] | $79 - $165 | 58% |
| Blue Shield [1014] | $84 - $128 | 62% |
| Olympus Managed Healthcare Inc [1102] | $86 - $90 | 63% |
| Alternate Healthnet [1007] | $92 - $206 | 68% |
| Usoc - Us Olympic Committee [1123] | $97 - $102 | 72% |
| Global Excel [1036] | $98 - $103 | 72% |
| Sharp Health Plan [1079] | $98 - $135 | 72% |
| Alternate Blue Shield [2002] | $121 - $126 | 89% |
| Blue Shield Transplants [1113] | $121 - $126 | 89% |
| Alternate Sheriff Custody [1106] | $128 - $134 | 94% |
| Arch Health Partners [2000] | $128 - $134 | 94% |
| Axa Assistance [1098] | $128 - $134 | 94% |
| Cassidy Med Grp [1019] | $128 - $134 | 94% |
| Cmn - Canadian Medical Network [1024] | $128 - $134 | 94% |
| Ets - Lifetrac Network [1103] | $128 - $134 | 94% |
| Health Net Bh (Mhn) [1038] | $128 - $134 | 94% |
| Health Net Bh (Mhn) [2010] | $128 - $134 | 94% |
| Interlink Health Services Transplant [1124] | $128 - $134 | 94% |
| Interlink Health Transplant [2085] | $128 - $134 | 94% |
| National Healthcare Solutions Inc [1100] | $128 - $134 | 94% |
| San Diego County Sheriff Custody [2012] | $128 - $134 | 94% |
| Scripps Coastal Med Grp [1074] | $128 - $134 | 94% |
| Tri-City [1085] | $128 - $134 | 94% |
| Graybill Med Grp [1037] | $129 - $135 | 95% |
| Sharp Community Med Grp [1078] | $129 - $135 | 95% |
| Sharp Rees Stealy [1080] | $129 - $135 | 95% |
| Alternate Health Net Bh [2059] | $130 - $136 | 96% |
| Healthnet Transplants [1114] | $130 - $136 | 96% |
| Kaiser [1046] | $132 - $138 | 97% |
| Embassy Sponsored [1101] | $134 - $144 | 99% |
| Mgm Resorts [1053] | $134 - $206 | 99% |
| Quality Health [1069] | $134 - $206 | 99% |
| Interplan [1045] | $138 - $144 | 102% |
| Mercy Physicians Med Grp [1052] | $138 - $144 | 102% |
| Pacific Foundation [1063] | $138 - $144 | 102% |
| Beech Street [1012] | $148 - $154 | 109% |
| First Health [1032] | $148 - $154 | 109% |
| Admar [1001] | $152 - $159 | 112% |
| Bps - Benefit Plan Services [1015] | $152 - $159 | 112% |
| Multiplan [1058] | $152 - $159 | 112% |
| Private Healthcare Systems [1067] | $152 - $206 | 112% |
| Carnival Cruises [1018] | $158 - $165 | 117% |
| Scripps Health Plan Services [1075] | $158 - $165 | 117% |
| Alternate Kaiser Rad Onc [2089] | $197 - $206 | 145% |
| Champva [1020] | $197 - $206 | 145% |
| Chargers Football Company [1109] | $197 - $206 | 145% |
| Clippers Workers Compensation [2097] | $206 | 152% |
| Department Of Labor [1028] | $206 | 152% |
| San Diego Sockers [2015] | $206 | 152% |
| Sedgwick [1077] | $206 | 152% |
| Workers Compensation [1097] | $206 | 152% |
| Palomar Health [1128] | $236 - $247 | 174% |
| Easy Choice [1029] | $246 - $258 | 181% |
| Sharp Healthcare Transplant [1119] | $266 - $278 | 196% |