CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Grossmont Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$93
about 0.8× the $118 Medicare rate · typically $58–$166
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $93 Cash price $345 Hospital's list price $460
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana
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 | $188 - $353 | 160% |
| Blue Cross Blue Shieldmajor | $141 - $368 | 120% |
| Aetnamajor | $153 - $377 | 130% |
| Cignamajor | $140 - $301 | 119% |
| Kaiser Permanentemajor | $274 - $377 | 233% |
| Health Net | $67 - $359 | 57% |
| Molina | $215 - $330 | 183% |
| + 5 smaller / regional plans | $67 - $404 |
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Grossmont Hospital
Compare: New patient office visit (30-44 min) at other CA hospitals
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $34
- Children's Hosp of Los Angeles · Los Angeles $46
- Mountains Community Hospital · Lake Arrowhead $57
- Kern Valley Healthcare District · Lake Isabella $60
- Huntington Hospital · Pasadena $62
- Salinas Valley Memorial Hospital · Salinas $66
- Plumas District Hospital · Quincy $71
- Shriners Hospitals for Children Northern Calif · Sacramento $71
Insurance negotiated median for the same procedure, sorted lowest first.