CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: El Paso Children's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$106
about 0.9× the $118 Medicare rate · typically $78–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
Below the fair price — a good deal
about $28 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $106 This hospital $78 Cash price $90 Hospital's list price $449

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $78

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

A fair price for a New patient office visit (30-44 min) is about $106 (about 0.9× the $118 Medicare rate). El Paso Children's Hospital charges insurers about $78, or about $90 in cash — below the fair price — a good deal. Located in El Paso, TX.

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 $215 - $430 183%
Blue Cross Blue Shieldmajor $80 - $449 68%
Aetnamajor $216 - $479 184%
Cignamajor $236 - $470 201%
Health Net $77 65%
Molina $77 65%
+ 3 smaller / regional plans $60 - $317
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4845 Alameda Avenue, El Paso, TX 79905
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens