CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Helen Newberry Joy Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$101
about 0.9× the $118 Medicare rate · typically $68–$139
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $101 Cash price $149 Hospital's list price $237
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 - $356 | 60% |
| Blue Cross Blue Shieldmajor | $71 - $363 | 60% |
| Aetnamajor | $65 - $349 | 55% |
| Cignamajor | $70 - $356 | 60% |
| Humanamajor | $321 | 273% |
| Priority Health | $70 - $356 | 60% |
| + 7 smaller / regional plans | $46 - $357 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Helen Newberry Joy Hospital
Compare: New patient office visit (30-44 min) at other MI hospitals
- Sparrow Ionia Hospital · Ionia $47
- Huron Valley-Sinai Hospital · Commerce Township $62
- University of Michigan Health System · Ann Arbor $70
- Trinity Health Livingston Hospital · Howell $70
- Corewell Health Wayne Hospital · Wayne $72
- Corewell Health Trenton Hospital · Trenton $72
- Beaumont Hospital - Taylor · Taylor $72
- Harper University Hospital · Detroit $74
Insurance negotiated median for the same procedure, sorted lowest first.