CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Sharp Memorial Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.8× the $118 Medicare rate · typically $54–$199
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $90 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.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
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 | $330 | 281% |
| Blue Cross Blue Shieldmajor | $404 | 344% |
| Aetnamajor | $198 - $462 | 168% |
| Kaiser Permanentemajor | $318 - $404 | 270% |
| Health Net | $67 - $353 | 57% |
| Molina | $299 - $320 | 254% |
| + 5 smaller / regional plans | $254 - $359 |
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Other Procedures at Sharp Memorial 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.