CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercy Regional Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 0.7× the $95 Medicare rate · typically $57–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $65 This hospital $63

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

A typical price — 0 charge more and 3 charge less, among the 9 CO hospitals compared.

Cheapest $58 Priciest $63

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

A fair price for a Office visit, established patient (20-29 min) is about $65 (about 0.7× the $95 Medicare rate). Mercy Regional Medical Center charges insurers about $63 — about the fair price. Located in Durango, CO.

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 $63 66%
Blue Cross Blue Shieldmajor $63 - $606 66%
Aetnamajor $63 66%
Cignamajor $63 66%
Humanamajor $63 66%
Kaiser Permanentemajor $63 66%
+ 3 smaller / regional plans $63
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1010 Three Springs Blvd, Durango, CO 81301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals