CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Presbyterian Community Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$69
about 0.6× the $118 Medicare rate · typically $52–$103
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $69 Hospital's list price $102
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 |
|---|---|---|
| No insurance-company prices are published for this procedure. | ||
| + 8 smaller / regional plans | $25 - $552 | |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Presbyterian Community Hospital
Compare: New patient office visit (30-44 min) at other PR hospitals
Insurance negotiated median for the same procedure, sorted lowest first.