CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Nemours Children's Hospital, Delaware

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$139
about 1.2× the $118 Medicare rate · typically $86–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$144
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $118 Fair price $139 This hospital $144 Cash price $144 Hospital's list price $144

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 6 of 7 other DE hospitals charge less.

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 $139 (about 1.2× the $118 Medicare rate). Nemours Children's Hospital, Delaware charges insurers about $144, or about $144 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $53 - $90 45%
Blue Cross Blue Shieldmajor $53 - $319 45%
Aetnamajor $61 - $84 52%
Cignamajor $79 - $91 67%
Ambetter (Centene) $82 70%
AmeriHealth $82 70%
Fidelis Care $58 49%
Geisinger $86 73%
HealthPartners $56 48%
UPMC Health Plan $57 48%
+ 14 smaller / regional plans $29 - $144
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: 1600 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens