CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Agnes Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 0.7× the $118 Medicare rate · typically $58–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
About the fair price
about $6 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $87 This hospital $81 Cash price $175 Hospital's list price $175

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 $34 Priciest $81

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

A fair price for a New patient office visit (30-44 min) is about $87 (about 0.7× the $118 Medicare rate). Saint Agnes Medical Center charges insurers about $81, or about $175 in cash — about the fair price. Located in Fresno, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $70 - $89 60%
Blue Cross Blue Shieldmajor $46 - $147 39%
Aetnamajor $70 - $89 60%
Cignamajor $70 - $102 60%
Humanamajor $70 - $81 60%
Kaiser Permanentemajor $139 - $147 118%
Ambetter (Centene) $81 69%
Clover Health $70 60%
GEHA $86 73%
Health Net $81 - $89 69%
HealthPartners $81 69%
Meridian $70 - $81 60%
Molina $81 69%
Paramount $81 69%
Presbyterian $70 - $81 60%
Tufts Health Plan $81 69%
WellMed $70 60%
WellSense $81 69%
+ 336 smaller / regional plans $70 - $147
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals