CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Iowa Specialty Hospital - Clarion

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $57–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$79
Below the fair price — a good deal
about $11 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $90 This hospital $79 Cash price $115 Hospital's list price $191

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $31 Priciest $79

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

A fair price for a Office visit, established patient (20-29 min) is about $90 (about 0.9× the $95 Medicare rate). Iowa Specialty Hospital - Clarion charges insurers about $79, or about $115 in cash — below the fair price — a good deal. Located in Clarion, IA.

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✓ Aetna✓ Cigna HumanaKaiser 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 $73 - $489 77%
Blue Cross Blue Shieldmajor $81 85%
Aetnamajor $49 - $438 51%
Cignamajor $78 - $500 82%
HealthPartners $89 - $412 93%
+ 2 smaller / regional plans $90 - $335
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1316 South Main Street, Clarion, IA 50525
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals