CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Seattle Children's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$133
about 1.1× the $118 Medicare rate · typically $73–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$172
Above the fair price
about $39 over the fair price · 1.5× Medicare
Medicare pays $118 Fair price $133 This hospital $172 Cash price $135 Hospital's list price $255

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 $172

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 $133 (about 1.1× the $118 Medicare rate). Seattle Children's Hospital charges insurers about $172, or about $135 in cash — above the fair price. Located in Seattle, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $133. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $36 - $156 31%
Blue Cross Blue Shieldmajor $36 - $201 31%
Aetnamajor $113 - $204 96%
Cignamajor $115 - $170 98%
Humanamajor $128 - $204 109%
Kaiser Permanentemajor $35 - $174 30%
Medical Mutual $128 - $204 109%
Moda Health $113 - $204 96%
Molina $35 - $127 30%
PacificSource $130 111%
Providence Health Plan $115 - $172 98%
SelectHealth $128 - $204 109%
Tufts Health Plan $115 - $170 98%
+ 61 smaller / regional plans $34 - $204
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA 98105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens