CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mayers Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$85
about 0.7× the $118 Medicare rate · typically $48–$357
modeled estimate · not a bill or quote
What this hospital charges insurers
$329
Well above the fair price
about $244 over the fair price · 2.8× Medicare
Medicare pays $118 Fair price $85 This hospital $329 Cash price $441 Hospital's list price $441

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 $329

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 $85 (about 0.7× the $118 Medicare rate). Mayers Memorial Hospital charges insurers about $329, or about $441 in cash — well above the fair price. Located in Fall River Mills, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $85. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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
Blue Cross Blue Shieldmajor $219 - $521 186%
Cignamajor $271 - $521 231%
Health Net $284 - $545 242%
+ 8 smaller / regional plans $271 - $548
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 43563 Hwy 299 East, Fall River Mills, CA 96028
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals