CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sharp Chula Vista Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $266
Cash Discount Price: $345
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Sharp Chula Vista Medical Center is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 2.26x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $345 (293%)

Insurance Median: $266 (226%)

Cash: $345 (293% of Medicare)

Ins. Median: $266 (226% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 226% of the Medicare baseline (a markup of 126%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$28 - $287	24%
Medi-Cal	$28 - $330	24%
Blue Cross Blue Shield	$30 - $316	26%
Community Health Group	$66 - $359	56%
California Health And Wellness	$67 - $359	57%
Aetna	$71 - $337	60%
Health Net	$91 - $424	77%
Molina	$126 - $330	107%
Medicare (plans)	$129 - $424	110%
UnitedHealthcare	$132 - $208	112%
Blue Shield	$133 - $353	113%
Cigna	$180 - $363	153%
Multiplan	$189	161%
Allianz Global Assistance	$224 - $424	191%
Epic Americas	$224 - $359	191%
Interplan	$224 - $247	191%
Kaiser	$238 - $301	202%
Indian Health Council	$266 - $353	226%
Managed Health Network	$274 - $386	233%
San Diego Pace	$300 - $15,436	255%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $345.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.