CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Johnson Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.8× the $95 Medicare rate · typically $37–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $41 under the fair price · 0.3× Medicare
Medicare pays $95 Fair price $72 This hospital $31 Cash price $85 Hospital's list price $130

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 9 CT hospitals we have prices for — a strong deal.

Cheapest $31 Priciest $106

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

A fair price for a Office visit, established patient (20-29 min) is about $72 (about 0.8× the $95 Medicare rate). Johnson Memorial Hospital charges insurers about $31, or about $85 in cash — below the fair price — a good deal. Located in Stafford Springs, CT.

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 $10 - $116 11%
Blue Cross Blue Shieldmajor $10 - $103 11%
Aetnamajor $15 - $96 16%
Cignamajor $39 - $59 41%
Humanamajor $10 - $64 11%
Kaiser Permanentemajor $11 - $78 12%
Ambetter (Centene) $39 - $43 41%
Clover Health $50 - $59 53%
Harvard Pilgrim $22 - $131 23%
Health Net $15 - $96 16%
HealthPartners $39 - $43 41%
Meridian $39 - $59 41%
Molina $39 - $43 41%
Paramount $39 - $43 41%
Presbyterian $39 - $59 41%
Tufts Health Plan $22 - $131 23%
UniCare $17 - $103 18%
WellMed $50 - $59 53%
WellSense $39 - $43 41%
+ 354 smaller / regional plans $10 - $237
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals