CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Craig Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 0.8× the $118 Medicare rate · typically $78–$239
modeled estimate · not a bill or quote
What this hospital charges insurers
$79
Below the fair price — a good deal
about $14 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $93 This hospital $79 Cash price $219 Hospital's list price $529

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $72 Priciest $79

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $93 (about 0.8× the $118 Medicare rate). Craig Hospital charges insurers about $79, or about $219 in cash — below the fair price — a good deal. Located in Englewood, CO.

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 $79 67%
Blue Cross Blue Shieldmajor $306 260%
Aetnamajor $360 306%
Cignamajor $291 248%
Kaiser Permanentemajor $300 255%
+ 16 smaller / regional plans $317 - $476
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL