CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$143
about 1.2× the $118 Medicare rate · typically $101–$301
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
About the fair price
about $4 under the fair price · 1.2× Medicare
Medicare pays $118 Fair price $143 This hospital $139 Cash price $184 Hospital's list price $184

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 $139

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 $143 (about 1.2× the $118 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $139, or about $184 in cash — about the fair price. Located in San Francisco, CA.

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 $184 157%
Blue Cross Blue Shieldmajor $102 - $184 87%
Cignamajor $206 - $219 175%
Kaiser Permanentemajor $102 - $140 87%
Health Net $149 127%
+ 7 smaller / regional plans $102 - $184
Excludes 2 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: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals