CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Adventist Health Delano

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $54–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $23 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $81 This hospital $58 Cash price $43 Hospital's list price $215

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 $18 Priciest $58

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $81 (about 0.9× the $95 Medicare rate). Adventist Health Delano charges insurers about $58, or about $43 in cash — below the fair price — a good deal. Located in Delano, 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 $58 - $155 61%
Blue Cross Blue Shieldmajor $44 - $179 46%
Aetnamajor $129 - $159 136%
Cignamajor $172 181%
Kaiser Permanentemajor $100 105%
Health Net $58 - $145 61%
+ 12 smaller / regional plans $34 - $266
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals