CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Kern Valley Healthcare District

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 0.8× the $118 Medicare rate · typically $58–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
Below the fair price — a good deal
about $31 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $91 This hospital $60 Cash price $84 Hospital's list price $282

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 CA hospitals compared.

Cheapest $34 Priciest $72

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 $91 (about 0.8× the $118 Medicare rate). Kern Valley Healthcare District charges insurers about $60, or about $84 in cash — below the fair price — a good deal. Located in Lake Isabella, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $66 - $72 56%
Blue Cross Blue Shieldmajor $86 - $331 73%
Aetnamajor $62 - $306 53%
Cignamajor $90 - $342 77%
Humanamajor $59 - $84 50%
Health Net $23 - $318 20%
+ 1 smaller / regional plan $64 - $97
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 6412 Laurel Ave, Lake Isabella, CA 93240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals