CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Hospital General De Castaner
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$73
about 0.6× the $118 Medicare rate · typically $58–$133
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
About the fair price
about $5 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $73 This hospital $68 Cash price $134 Hospital's list price $167
A fair price for a New patient office visit (30-44 min) is about $73 (about 0.6× the $118 Medicare rate). Hospital General De Castaner charges insurers about $68, or about $134 in cash — about the fair price. Located in Castaner, PR.
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
✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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 |
|---|---|---|
| Humanamajor | $110 | 94% |
| + 3 smaller / regional plans | $18 - $110 |
Government programs also on file: Medicare.
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