CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Mary's Regional Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.8× the $118 Medicare rate · typically $49–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$71
Below the fair price — a good deal
about $23 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $94 This hospital $71 Hospital's list price $363

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 3 charge more and 4 charge less, among the 9 NV hospitals compared.

Cheapest $35 Priciest $96

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

A fair price for a New patient office visit (30-44 min) is about $94 (about 0.8× the $118 Medicare rate). Saint Mary's Regional Medical Center charges insurers about $71 — below the fair price — a good deal. Located in Reno, NV.

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 $71 60%
Molina $72 61%
+ 4 smaller / regional plans $25 - $87
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals