CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Central Valley Medical Center - Cah

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$128

about 1.1× the $118 Medicare rate · typically $83–$175

modeled estimate · not a bill or quote

What this hospital charges insurers

$108

Below the fair price — a good deal

about $20 under the fair price · 0.9× Medicare

Medicare pays $118 Fair price $128 This hospital $108 Cash price $150 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $66 Priciest $108

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

A fair price for a New patient office visit (30-44 min) is about $128 (about 1.1× the $118 Medicare rate). Central Valley Medical Center - Cah charges insurers about $108, or about $150 in cash — below the fair price — a good deal. Located in Nephi, UT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$150	128%
Blue Cross Blue Shieldmajor	$134	114%
Aetnamajor	$106	90%
Cignamajor	$150	128%
Humanamajor	$107 - $108	91%
SelectHealth	$95 - $150	81%
+ 5 smaller / regional plans	$121 - $150

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 150), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Central Valley Medical Center - Cah is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Central Valley Medical Center - Cah

Compare: New patient office visit (30-44 min) at other UT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.