CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Adventist Health Sierra Vista

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$234
about 2.0× the $118 Medicare rate · typically $109–$797
modeled estimate · not a bill or quote
What this hospital charges insurers
$185
Below the fair price — a good deal
about $49 under the fair price · 1.6× Medicare
Medicare pays $118 Fair price $234 This hospital $185 Cash price $38 Hospital's list price $424

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 $185

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 $234 (about 2.0× the $118 Medicare rate). Adventist Health Sierra Vista charges insurers about $185, or about $38 in cash — below the fair price — a good deal. Located in San Luis Obispo, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $51 - $393 43%
Blue Cross Blue Shieldmajor $116 - $1,373 99%
Aetnamajor $72 - $488 61%
+ 9 smaller / regional plans $50 - $1,485
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1010 Murray St, San Luis Obispo, CA 93405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals