CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Sgmc Health

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$66
about 0.7× the $95 Medicare rate · typically $54–$94
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $3 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $66 This hospital $63 Cash price $462 Hospital's list price $616

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

On the higher side — 7 of 8 other GA hospitals charge less.

Cheapest $29 Priciest $65

Black dot = this hospital, among the 9 GA 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 $66 (about 0.7× the $95 Medicare rate). Sgmc Health charges insurers about $63, or about $462 in cash — about the fair price. Located in Valdosta, GA.

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
WellCare $57 60%
+ 3 smaller / regional plans $45 - $74

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: 2501 North Patterson Street, Po Box 1727, Valdosta, GA 31602
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals