CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sierra Nevada Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$223
about 1.9× the $118 Medicare rate · typically $93–$408
modeled estimate · not a bill or quote
What this hospital charges insurers
$330
Above the fair price
about $107 over the fair price · 2.8× Medicare
Medicare pays $118 Fair price $223 This hospital $330 Cash price $207 Hospital's list price $380

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 $330

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 $223 (about 1.9× the $118 Medicare rate). Sierra Nevada Memorial Hospital charges insurers about $330, or about $207 in cash — above the fair price. Located in Grass Valley, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $223. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna✓ Kaiser Permanente AetnaHumana

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 $226 - $438 192%
Blue Cross Blue Shieldmajor $112 - $425 95%
Cignamajor $293 - $381 249%
Kaiser Permanentemajor $259 - $337 220%
Health Net $230 196%
+ 2 smaller / regional plans $102 - $230
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 155 Glasson Way, Grass Valley, CA 95945
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals