CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Adventist Health Sonora

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$98
about 0.8× the $118 Medicare rate · typically $73–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $98 This hospital $101 Cash price $35 Hospital's list price $207

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 $101

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 $98 (about 0.8× the $118 Medicare rate). Adventist Health Sonora charges insurers about $101, or about $35 in cash — about the fair price. Located in Sonora, 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✓ Kaiser Permanente Humana

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 $71 - $320 60%
Blue Cross Blue Shieldmajor $71 - $283 60%
Aetnamajor $71 - $258 60%
Cignamajor $87 - $353 74%
Kaiser Permanentemajor $112 - $186 95%
Health Net $57 - $326 48%
+ 13 smaller / regional plans $57 - $353
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals