CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Ascension Providence Rochester Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $61–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
About the fair price
about $9 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $99 This hospital $108 Cash price $127 Hospital's list price $271

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $47 Priciest $108

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

A fair price for a New patient office visit (30-44 min) is about $99 (about 0.8× the $118 Medicare rate). Ascension Providence Rochester Hospital charges insurers about $108, or about $127 in cash — about the fair price. Located in Rochester, MI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $101 - $108 86%
+ 1 smaller / regional plan $108

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Facility Profile & Credentials

  • Address: 1101 W University Drive, Rochester, MI 48307
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals