CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Natchaug Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$86
about 0.9× the $95 Medicare rate · typically $50–$171
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $86 This hospital $83 Cash price $255 Hospital's list price $255

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CT hospitals compared.

Cheapest $31 Priciest $106

Black dot = this hospital, among the 9 CT 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 $86 (about 0.9× the $95 Medicare rate). Natchaug Hospital charges insurers about $83, or about $255 in cash — about the fair price. Located in Mansfield Center, CT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $76 - $120 80%
Aetnamajor $77 - $89 81%
Cignamajor $94 99%
WellCare $60 63%

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.

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Facility Profile & Credentials

  • Address: 189 Storrs Rd, Mansfield Center, CT 06250
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric