CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Page Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$62

about 0.7× the $95 Medicare rate · typically $46–$79

modeled estimate · not a bill or quote

What this hospital charges insurers

$55

Below the fair price — a good deal

about $7 under the fair price · 0.6× Medicare

Medicare pays $95 Fair price $62 This hospital $55 Cash price $233 Hospital's list price $340

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 0 charge more and 5 charge less, among the 9 AZ hospitals compared.

Cheapest $18 Priciest $55

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $62 (about 0.7× the $95 Medicare rate). Page Hospital charges insurers about $55, or about $233 in cash — below the fair price — a good deal. Located in Page, AZ.

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	$180 - $811	189%
Blue Cross Blue Shieldmajor	$119 - $1,164	125%
Aetnamajor	$112 - $1,314	118%
Cignamajor	$119 - $1,358	125%
Humanamajor	$64 - $500	67%
Kaiser Permanentemajor	$119 - $782	125%
Banner Health	$55 - $782	58%
Devoted Health	$131 - $860	138%
Health Net	$55 - $1,157	58%
Oscar Health	$196 - $1,290	206%
UPMC Health Plan	$119 - $782	125%
+ 14 smaller / regional plans	$55 - $1,401

Government programs also on file: Military & VA.

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 233), 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: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Page Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
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 Page Hospital

Compare: Office visit, established patient (20-29 min) at other AZ hospitals

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