CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Valley Children's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 0.9× the $118 Medicare rate · typically $63–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $108 This hospital $107

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 $107

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 $108 (about 0.9× the $118 Medicare rate). Valley Children's Hospital charges insurers about $107 — about the fair price. 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.

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 $111 94%
Blue Cross Blue Shieldmajor $130 111%
Kaiser Permanentemajor $72 61%
+ 11 smaller / regional plans $72 - $143

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Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens