CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Saint Agnes Medical Center
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$56
about 0.6× the $95 Medicare rate · typically $25–$62
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $56 Cash price $22 Hospital's list price $22
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 | $12 - $72 | 13% |
| Blue Cross Blue Shieldmajor | $12 - $94 | 13% |
| Aetnamajor | $11 - $72 | 12% |
| Cignamajor | $12 - $82 | 13% |
| Humanamajor | $10 - $66 | 11% |
| Kaiser Permanentemajor | $15 - $113 | 16% |
| Ambetter (Centene) | $19 - $66 | 20% |
| Clover Health | $57 | 60% |
| GEHA | $58 | 61% |
| Health Net | $12 - $72 | 13% |
| HealthPartners | $19 - $66 | 20% |
| Meridian | $19 - $66 | 20% |
| Molina | $19 - $66 | 20% |
| Paramount | $19 - $66 | 20% |
| Presbyterian | $19 - $66 | 20% |
| Tufts Health Plan | $19 - $66 | 20% |
| WellMed | $57 | 60% |
| WellSense | $19 - $66 | 20% |
| + 336 smaller / regional plans | $10 - $94 |
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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Other Procedures at Saint Agnes Medical Center
Compare: Office visit, established patient (20-29 min) at other CA hospitals
- Children's Hosp of Los Angeles · Los Angeles $18
- Tri-City Medical Center · Oceanside $24
- Mountains Community Hospital · Lake Arrowhead $24
- Riverside Community Hospital · Riverside $29
- Good Samaritan Hospital · San Jose $29
- Los Robles Hospital & Medical Center · Thousand Oaks $30
- Plumas District Hospital · Quincy $30
- Paradise Valley Hospital · National City $34
Insurance negotiated median for the same procedure, sorted lowest first.