CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Valley Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$171
about 1.8× the $95 Medicare rate · typically $82–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
Below the fair price — a good deal
about $102 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $171 This hospital $69 Hospital's list price $197

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $48 Priciest $69

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

A fair price for a Office visit, established patient (20-29 min) is about $171 (about 1.8× the $95 Medicare rate). Valley Medical Center charges insurers about $69 — below the fair price — a good deal. Located in Renton, WA.

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✓ Humana✓ Kaiser Permanente Cigna

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 $69 72%
Blue Cross Blue Shieldmajor $69 72%
Aetnamajor $45 - $164 47%
Humanamajor $50 - $177 53%
Kaiser Permanentemajor $52 - $83 55%
Health Net $36 38%
Molina $89 - $184 93%
+ 2 smaller / regional plans $45 - $75
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 S 43Rd St, Renton, WA 98055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals