CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Primary Children's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 0.8× the $118 Medicare rate · typically $65–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $93 This hospital $94 Cash price $295 Hospital's list price $393

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 0 of 8 other UT hospitals charge more for the same procedure.

Cheapest $66 Priciest $94

Black dot = this hospital, among the 9 UT 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 $93 (about 0.8× the $118 Medicare rate). Primary Children's Hospital charges insurers about $94, or about $295 in cash — about the fair price. Located in Salt Lake City, 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 $81 - $330 69%
Blue Cross Blue Shieldmajor $287 - $338 244%
Aetnamajor $279 - $334 237%
Cignamajor $279 - $330 237%
Humanamajor $279 - $330 237%
Health Net $318 270%
Molina $81 - $330 69%
SelectHealth $81 - $330 69%
+ 31 smaller / regional plans $81 - $346
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

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens