CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: San Joaquin Valley Rehabilitation Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$145
about 1.5× the $95 Medicare rate · typically $56–$340
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $145 Hospital's list price $199
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✓ Kaiser Permanente AetnaCignaHumana
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 | $199 | 209% |
| Blue Cross Blue Shieldmajor | $199 | 209% |
| Kaiser Permanentemajor | $199 | 209% |
| Health Net | $199 | 209% |
| + 1 smaller / regional plan | $199 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at San Joaquin Valley Rehabilitation Hospital
Compare: Office visit, established patient (20-29 min) at other CA hospitals
- Children's Hosp of Los Angeles · Los Angeles $18
- Tri-City Medical Center · Oceanside $24
- Mountains Community Hospital · Lake Arrowhead $24
- Riverside Community Hospital · Riverside $29
- Good Samaritan Hospital · San Jose $29
- Los Robles Hospital & Medical Center · Thousand Oaks $30
- Plumas District Hospital · Quincy $30
- Paradise Valley Hospital · National City $34
Insurance negotiated median for the same procedure, sorted lowest first.