CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: PAM Health Rehabilitation Hospital of Georgetown

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 0.8× the $95 Medicare rate · typically $56–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $11 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $76 This hospital $87

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

One of the lower prices — 5 of 7 other DE hospitals charge more for the same procedure.

Cheapest $63 Priciest $144

Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $76 (about 0.8× the $95 Medicare rate). PAM Health Rehabilitation Hospital of Georgetown charges insurers about $87 — about the fair price. Located in Georgetown, DE.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $87

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 22303 Dupont Blvd, Georgetown, DE 19947
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL