CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Madera Community Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 0.8× the $95 Medicare rate · typically $57–$162
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $18 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $76 This hospital $58 Cash price $66 Hospital's list price $110

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 $76 (about 0.8× the $95 Medicare rate). Madera Community Hospital charges insurers about $58, or about $66 in cash — below the fair price — a good deal. Located in Madera, CA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Health Net $43 - $64 45%
+ 1 smaller / regional plan $58
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1250 E Almond Ave, Madera, CA 93637
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals