CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Candler County Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$96
about 1.0× the $95 Medicare rate · typically $53–$238
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $96 Hospital's list price $170
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 | $83 - $152 | 87% |
| Blue Cross Blue Shieldmajor | $29 - $165 | 30% |
| Cignamajor | $60 - $111 | 63% |
| Humanamajor | $24 - $44 | 25% |
| Ambetter (Centene) | $57 - $251 | 60% |
| CareSource | $31 - $56 | 33% |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Candler County Hospital
Compare: Office visit, established patient (20-29 min) at other GA hospitals
- Miller County Hospital · Colquitt $29
- Liberty Regional Medical Center · Hinesville $51
- Southern Regional Medical Center · Riverdale $53
- Tanner Medical Center Villa Rica · Villa Rica $59
- Tanner Medical Center - Carrollton · Carrollton $60
- Southeast Georgia Health System- Brunswick Campus · Brunswick $62
- Southeast Georgia Health System -- Camden Campus · Saint Marys $62
- Sgmc Health · Valdosta $63
Insurance negotiated median for the same procedure, sorted lowest first.