CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Atrium Health Navicent Peach

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$77
about 0.8× the $95 Medicare rate · typically $57–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $2 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $77 This hospital $75

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $29 Priciest $75

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

A fair price for a Office visit, established patient (20-29 min) is about $77 (about 0.8× the $95 Medicare rate). Atrium Health Navicent Peach charges insurers about $75 — about the fair price. Located in Byron, GA.

What each insurance company pays

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

5 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 $71 - $82 75%
Blue Cross Blue Shieldmajor $71 75%
Aetnamajor $71 - $77 75%
Cignamajor $94 99%
Humanamajor $71 - $87 75%
Ambetter (Centene) $81 85%
Clover Health $73 77%
+ 6 smaller / regional plans $71 - $105

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals