CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Kootenai Health

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.8× the $118 Medicare rate · typically $66–$106
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $8 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $89 This hospital $97 Cash price $203 Hospital's list price $270

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 6 of 8 other ID hospitals charge less.

Cheapest $29 Priciest $107

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

A fair price for a New patient office visit (30-44 min) is about $89 (about 0.8× the $118 Medicare rate). Kootenai Health charges insurers about $97, or about $203 in cash — about the fair price. Located in Coeur D'Alene, ID.

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 $68 - $243 58%
Blue Cross Blue Shieldmajor $68 - $243 58%
Aetnamajor $71 - $224 60%
Cignamajor $221 - $224 188%
Humanamajor $68 - $110 58%
Kaiser Permanentemajor $99 - $396 84%
Molina $58 - $113 49%
PacificSource $68 - $221 58%
+ 5 smaller / regional plans $58 - $234

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals