CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Garden Grove Hospital & Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$106
about 0.9× the $118 Medicare rate · typically $76–$244
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
Below the fair price — a good deal
about $21 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $106 This hospital $85 Hospital's list price $559

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 $85

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 $106 (about 0.9× the $118 Medicare rate). Garden Grove Hospital & Medical Center charges insurers about $85 — below the fair price — a good deal. Located in Garden Grove, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Health Net $88 75%
Molina $82 70%
Sentara $82 70%
+ 1 smaller / regional plan $559
Government programs also on file: Medicaid.

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: 12601 Garden Grove Blvd, Garden Grove, CA 92843
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals