CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Francis Hospital - Interquest

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$89
about 0.9× the $95 Medicare rate · typically $61–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
Below the fair price — a good deal
about $26 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $89 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 $89 (about 0.9× the $95 Medicare rate). St Francis Hospital - Interquest charges insurers about $63 — below the fair price — a good deal. Located in Colorado Springs, 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 - $386 66%
Aetnamajor $63 66%
Cignamajor $63 66%
Humanamajor $63 66%
Kaiser Permanentemajor $63 66%
Devoted Health $63 66%
+ 2 smaller / regional plans $63
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 10860 New Allegiance Dr, Colorado Springs, CO 80921
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals