CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Snoqualmie Valley Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $79
Cash Discount Price: $42
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Snoqualmie Valley Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.67x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $42 (36%)

Insurance Median: $79 (67%)

Cash: $42 (36% of Medicare)

Ins. Median: $79 (67% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$20 - $253	17%
Amerigroup Wellpoint	$20 - $216	17%
Community Health Plan Of Wa	$20 - $133	17%
Medicare (plans)	$20 - $130	17%
Molina Healthcare Of Washington Mcr Adv	$20 - $130	17%
Blue Shield Of Wa Regence Mcr Adv	$21 - $130	18%
Humana	$21 - $250	18%
Molina Healthcare Of Washington	$21 - $133	18%
UnitedHealthcare	$21 - $187	18%
Washington Coordinated Care	$21 - $253	18%
Community Health Plan Of Wa Mcd Rep	$23 - $203	20%
Medicaid / KanCare	$23 - $203	20%
Molina Healthcare Of Washington Mcd Rep	$24 - $220	20%
Blue Cross Blue Shield	$29 - $261	25%
Kaiser Foundation Health Plan Of The Northwest	$30 - $370	26%
First Choice Health Network	$34 - $305	29%
Cigna	$39 - $471	33%
Blue Shield Of Wa Regence	$72 - $151	61%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Snoqualmie Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.