CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Orchard Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.8× the $118 Medicare rate · typically $52–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $5 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $90 This hospital $85 Cash price $160 Hospital's list price $267

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 $85

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 $90 (about 0.8× the $118 Medicare rate). Orchard Hospital charges insurers about $85, or about $160 in cash — about the fair price. Located in Gridley, 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✓ Aetna CignaHumanaKaiser 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 $247 210%
Blue Cross Blue Shieldmajor $70 - $214 60%
Aetnamajor $187 159%
+ 1 smaller / regional plan $86
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 240 Spruce Street, Gridley, CA 95948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals