CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: East Los Angeles Doctors Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $67–$244
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $4 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $99 This hospital $103 Cash price $374 Hospital's list price $374

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 $103

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $99 (about 0.8× the $118 Medicare rate). East Los Angeles Doctors Hospital charges insurers about $103, or about $374 in cash — about the fair price. Located in Los Angeles, 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✓ Cigna AetnaHumanaKaiser 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 $131 111%
Blue Cross Blue Shieldmajor $103 - $254 88%
Cignamajor $175 149%
Ambetter (Centene) $174 - $197 148%
Health Net $75 - $178 64%
Oscar Health $112 95%
+ 5 smaller / regional plans $206 - $299
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4060 Whittier Blvd, Los Angeles, CA 90023
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals