CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 0.8× the $118 Medicare rate · typically $70–$262
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
Below the fair price — a good deal
about $28 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $98 This hospital $70

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 5 charge more and 3 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 $98 (about 0.8× the $118 Medicare rate). Southern Hills Hospital and Medical Center charges insurers about $70 — below the fair price — a good deal. Located in Las Vegas, 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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $55 47%
Ambetter (Centene) $37 - $74 31%
Molina $35 - $73 30%
+ 4 smaller / regional plans $35 - $192
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals