CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 1.0× the $95 Medicare rate · typically $64–$169
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
About the fair price
about $13 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $92 This hospital $105 Cash price $145 Hospital's list price $761

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 $105

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 $92 (about 1.0× the $95 Medicare rate). Martin Luther King, Jr. Community Hospital charges insurers about $105, or about $145 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $291 - $375 306%
Blue Cross Blue Shieldmajor $278 - $397 292%
Health Net $119 - $262 125%
Molina $86 - $131 90%
+ 9 smaller / regional plans $48 - $525
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: 1680 East 120Th Street, Los Angeles, CA 90059
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals