CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Francis Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $61–$296
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
0.7× Medicare
Medicare pays $118 Fair price $78 This hospital $78 Cash price $193 Hospital's list price $193

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Lowest price of the 8 DE hospitals we have prices for — a strong deal.

Cheapest $78 Priciest $185

Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $78 (about 0.7× the $118 Medicare rate). St Francis Hospital charges insurers about $78, or about $193 in cash — about the fair price. Located in Wilmington, DE.

What each insurance company pays

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

6 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 $70 - $91 60%
Blue Cross Blue Shieldmajor $70 - $100 60%
Aetnamajor $70 - $148 60%
Cignamajor $70 - $143 60%
Humanamajor $70 - $78 60%
Kaiser Permanentemajor $88 75%
Ambetter (Centene) $78 - $99 66%
Clover Health $70 60%
Dean Health Plan $149 - $178 127%
GEHA $91 77%
Health Net $78 - $148 66%
HealthPartners $78 66%
Meridian $70 - $78 60%
Molina $78 66%
Paramount $78 - $178 66%
Presbyterian $70 - $78 60%
Tufts Health Plan $78 66%
WellMed $70 60%
WellSense $78 66%
+ 346 smaller / regional plans $70 - $189
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals