CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: San Joaquin General Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.9× the $95 Medicare rate · typically $63–$171
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $20 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $85 This hospital $65 Cash price $160 Hospital's list price $291

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 $18 Priciest $65

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $85 (about 0.9× the $95 Medicare rate). San Joaquin General Hospital charges insurers about $65, or about $160 in cash — below the fair price — a good deal. Located in French Camp, CA.

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✓ 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 $65 68%
Blue Cross Blue Shieldmajor $65 - $158 68%
Aetnamajor $65 68%
Cignamajor $65 68%
Humanamajor $65 68%
Health Net $62 - $270 65%
+ 5 smaller / regional plans $62 - $338

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 500 W Hospital Road, French Camp, CA 95231
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals