CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Adventist Health White Memorial
Billing Code: 99203 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99203
- Insurance Median: $87
- Cash Discount Price: $40
- vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Adventist Health White Memorial is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.74x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$40
Average discount available for prompt cash payment at this facility.
Insurance Median
$87
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$117.57
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $40 (34%)
Insurance Median: $87 (74%)
Cash: $40 (34% of Medicare)
Ins. Median: $87 (74% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Prospect Mg Com/Pos Profee Only-All Other Plan | $56 - $67 | 48% |
| Prospect Mg Mcal Profee Only | $56 - $67 | 48% |
| Prospect Mg Mcr Adv Profee Only | $56 - $67 | 48% |
| Access Medi-Cal | $57 - $82 | 48% |
| Altamed Medi-Cal - All Other Plans | $57 - $94 | 48% |
| Bc Medi-Cal | $57 - $116 | 48% |
| Blue Shield Medi-Cal | $57 - $205 | 48% |
| Care First Medi-Cal | $57 - $250 | 48% |
| Healthcare Inc Medi-Cal | $57 - $82 | 48% |
| Lasalle Mg Medi-Cal | $57 - $82 | 48% |
| Medi-Cal | $57 - $82 | 48% |
| Pacific Alliance Medi-Cal | $57 - $82 | 48% |
| Pacific Ipa Medi-Cal | $57 - $82 | 48% |
| Preferred Medi-Cal | $57 - $82 | 48% |
| Blue Shield Epn | $60 - $163 | 51% |
| Access Group | $63 | 54% |
| Ahp - All Other Plans | $63 - $74 | 54% |
| Lasalle Mg Commercial - All Other Plans | $63 | 54% |
| Healthnet Mcal | $68 - $98 | 58% |
| Blue Shield - All Other Plans | $69 - $172 | 59% |
| Fcs Ipa Medi-Cal Op/Profee Only | $69 - $98 | 59% |
| Aetna | $73 - $122 | 62% |
| Access Senior - All Other Plans | $74 | 63% |
| Ahp Senior | $74 | 63% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $74 | 63% |
| Altamed Connect | $74 | 63% |
| Avanti Mcr Adv - All Other Plans | $74 | 63% |
| Brand New Day Mcare - All Plans | $74 | 63% |
| Bs Va Mcare | $74 | 63% |
| Care First Mcare - All Other Plans | $74 | 63% |
| Clever Care - All Plans | $74 | 63% |
| El Proyecto Comm Profee Only - All Other Plans | $74 | 63% |
| Fcs Ipa Mcr Advan Op/Profee Only | $74 | 63% |
| Global Care Comm Profee Only - All Other Plans | $74 | 63% |
| Hcla Comm Profee Only - All Other Plans | $74 | 63% |
| Humana | $74 | 63% |
| Lasalle Mg Senior | $74 | 63% |
| Medicare (plans) | $74 | 63% |
| Molina Mcare | $74 - $112 | 63% |
| Pacific Alliance Mcare - All Other Plans | $74 | 63% |
| Preferred Senior | $74 | 63% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $74 | 63% |
| Tricare | $74 | 63% |
| UnitedHealthcare | $74 - $125 | 63% |
| Blue Shield Mcr Adv | $75 - $114 | 64% |
| Blue Cross Blue Shield | $77 - $205 | 65% |
| Fcs Ipa Op/Profee Only - All Other Plans | $78 | 66% |
| Ahp Medi-Cal | $80 - $82 | 68% |
| Assoc Hispanic Physcns Mcal | $80 - $115 | 68% |
| Bella Vista Medi-Cal Op/Profee Only | $80 - $82 | 68% |
| El Proyecto Mcal Profee Only | $80 | 68% |
| Global Care Mcal Profee Only | $80 | 68% |
| Hcla Mcal Profee Only | $80 | 68% |
| Ah Employee Health Plan - All Plans | $82 - $134 | 70% |
| Alta Los Angeles Mcal 1/1/19 | $82 | 70% |
| Avanti Mcal | $82 | 70% |
| Molina Medi-Cal | $82 - $92 | 70% |
| Preferred Ipa La Care Mcal Cap | $82 | 70% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $89 | 76% |
| Cigna | $89 - $106 | 76% |
| Preferred Commercial - All Other Plans | $89 | 76% |
| Molina Benefit Exchange - All Other Plans | $94 - $112 | 80% |
| Pacific Ipa - All Other Plans | $95 | 81% |
| Intergrated Medical - All Plans | $96 | 82% |
| Kaiser- All Plans | $102 | 87% |
| Preferred Healthy | $103 | 88% |
| Western Growers/Pinnacle - All Plans | $103 - $185 | 88% |
| Healthnet - All Other Plans | $108 - $113 | 92% |
| Healthnet Comm Care | $108 - $117 | 92% |
| Centivo - All Plans | $111 - $167 | 94% |
| Php-Prospect Health Plan Cap - All Plans | $111 | 94% |
| Caremore Mcare - All Plans | $125 | 106% |
| Hcpamg - All Plans | $125 | 106% |
| Healthcare Inc - All Other Plans | $138 | 117% |
| La Care Mcr Adv - All Plans | $138 | 117% |
| First Heatlh Ppo - All Plans | $145 | 123% |
| Multiplan Ppo - All Plans | $155 - $208 | 132% |
| Phcs Ppo - All Plans | $162 | 138% |
| Scan Health Mcare - All Plans | $162 | 138% |
| Ahf - All Plans | $188 | 160% |
| Beech Street - All Plans | $188 | 160% |
| Interplan Ppo - All Plans | $188 | 160% |
| Corvel Corp - All Plans | $200 | 170% |
| Healthmannet - All Plans | $212 | 180% |
| Next Inc Ppo - All Plans | $212 | 180% |
| Trpn - All Plans | $212 | 180% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $225 | 191% |
| Fpn Ppo - All Plans | $225 | 191% |
| Healthnet Mcr Adv | $382 | 325% |
| Bright Health - All Plans | $1,850 | 1574% |