CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Klickitat Valley Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$98

about 0.8× the $118 Medicare rate · typically $67–$177

modeled estimate · not a bill or quote

Medicare pays $118 Fair price $98 Cash price $96 Hospital's list price $200

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$82 - $272	70%
Blue Cross Blue Shieldmajor	$84 - $385	71%
Cignamajor	$122 - $262	104%
Ambetter (Centene)	$306	260%
Health Net	$166 - $356	141%
Moda Health	$166 - $356	141%
Molina	$78 - $338	66%
PacificSource	$79 - $306	67%
Providence Health Plan	$166 - $356	141%
+ 2 smaller / regional plans	$79 - $170

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 96), 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 Klickitat Valley Hospital 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 Klickitat Valley Hospital

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

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