CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Northside Hospital Cherokee

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$139
about 1.2× the $118 Medicare rate · typically $83–$314
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
Below the fair price — a good deal
about $30 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $139 This hospital $109 Cash price $254 Hospital's list price $339

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $57 Priciest $109

Black dot = this hospital, among the 9 GA 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). Northside Hospital Cherokee charges insurers about $109, or about $254 in cash — below the fair price — a good deal. Located in Canton, GA.

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 $73 - $230 62%
Blue Cross Blue Shieldmajor $73 - $218 62%
Aetnamajor $73 - $222 62%
Cignamajor $75 - $159 64%
Humanamajor $73 62%
Kaiser Permanentemajor $73 - $139 62%
Ambetter (Centene) $77 - $134 65%
Amerigroup $77 65%
CareSource $73 - $77 62%
Clover Health $77 65%
Health Net $97 - $156 83%
Oscar Health $98 83%
WellCare $73 62%
+ 3 smaller / regional plans $77 - $181
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 450 Northside Cherokee Boulevard, Canton, GA 30115
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals