CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Prosser Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 0.8× the $118 Medicare rate · typically $55–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $14 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $95 This hospital $109 Cash price $180 Hospital's list price $327

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 $54 Priciest $109

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

A fair price for a New patient office visit (30-44 min) is about $95 (about 0.8× the $118 Medicare rate). Prosser Memorial Hospital charges insurers about $109, or about $180 in cash — about the fair price. Located in Prosser, WA.

What each insurance company pays

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

6 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 $37 - $313 31%
Blue Cross Blue Shieldmajor $105 - $294 89%
Aetnamajor $92 - $341 78%
Cignamajor $90 - $268 77%
Humanamajor $83 - $278 71%
Kaiser Permanentemajor $37 - $434 31%
Ambetter (Centene) $165 - $564 140%
Amerigroup $39 - $460 33%
Molina $39 - $132 33%
WellCare $82 - $313 70%
+ 6 smaller / regional plans $37 - $313
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: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals