CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: St Anthony Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$113
about 1.0× the $118 Medicare rate · typically $67–$195
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $113 Cash price $199 Hospital's list price $292
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $277 | 236% |
| Blue Cross Blue Shieldmajor | $234 | 199% |
| Aetnamajor | $277 | 236% |
| Cignamajor | $158 - $164 | 134% |
| Health Net | $263 | 224% |
| Moda Health | $95 - $199 | 81% |
| PacificSource | $277 | 236% |
| + 2 smaller / regional plans | $248 - $277 |
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Other Procedures at St Anthony Hospital
Compare: New patient office visit (30-44 min) at other OR hospitals
- McKenzie-Willamette Medical Center · Springfield $62
- Saint Alphonsus Medical Center Ontario · Ontario $68
- Santiam Hospital & Clinics · Stayton $70
- Sky Lakes Medical Center · Klamath Falls $78
- Wallowa Memorial Hospital · Enterprise $86
- Shriners Hospital for Children - Portland · Portland $101
- Mid-Columbia Medical Center · The Dalles $131
- Good Samaritan Regional Medical Center · Corvallis $132
Insurance negotiated median for the same procedure, sorted lowest first.