CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Adventist Health Vallejo

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$69
about 0.6× the $118 Medicare rate · typically $56–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
Above the fair price
about $25 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $69 This hospital $94 Cash price $27 Hospital's list price $178

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 $94

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 $69 (about 0.6× the $118 Medicare rate). Adventist Health Vallejo charges insurers about $94, or about $27 in cash — above the fair price. Located in Vallejo, 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 $69. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $53 - $159 45%
Blue Cross Blue Shieldmajor $54 - $203 46%
Aetnamajor $62 - $129 53%
Cignamajor $92 - $199 78%
Kaiser Permanentemajor $96 - $209 82%
Health Net $73 - $153 62%
+ 6 smaller / regional plans $69 - $212
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 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.

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Facility Profile & Credentials

  • Address: 525 Oregon St, Vallejo, CA 94590
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric