CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Shriners Hospital for Children - Portland

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$135
about 1.1× the $118 Medicare rate · typically $112–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
Below the fair price — a good deal
about $34 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $135 This hospital $101 Cash price $413 Hospital's list price $413

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OR hospitals compared.

Cheapest $62 Priciest $132

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $135 (about 1.1× the $118 Medicare rate). Shriners Hospital for Children - Portland charges insurers about $101, or about $413 in cash — below the fair price — a good deal. Located in Portland, OR.

What each insurance company pays

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

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

UnitedHealthcareBlue 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
Ambetter (Centene) $82 70%
Moda Health $58 - $253 49%
+ 2 smaller / regional plans $101 - $119

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3101 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens