CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Sharp Memorial Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $45–$204
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $81 Cash price $304 Hospital's list price $405
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 | $55 - $290 | 58% |
| Blue Cross Blue Shieldmajor | $141 - $311 | 148% |
| Aetnamajor | $166 - $290 | 174% |
| Cignamajor | $259 | 272% |
| Kaiser Permanentemajor | $59 - $320 | 62% |
| Health Net | $166 - $725 | 174% |
| Molina | $62 - $290 | 65% |
| + 5 smaller / regional plans | $116 - $320 |
Government programs also on file: Medicaid.
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Other Procedures at Sharp Memorial Hospital
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.