CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Virginia Gay Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.9× the $95 Medicare rate · typically $65–$106
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $6 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $89 This hospital $83 Cash price $157 Hospital's list price $196

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 $83

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 $89 (about 0.9× the $95 Medicare rate). Virginia Gay Hospital charges insurers about $83, or about $157 in cash — about the fair price. Located in Vinton, 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✓ Humana CignaKaiser 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 $35 - $156 37%
Blue Cross Blue Shieldmajor $85 - $174 89%
Aetnamajor $155 - $318 163%
Humanamajor $70 - $262 74%
HealthPartners $88 - $279 92%
+ 4 smaller / regional plans $81 - $312
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 502 North 9Th Avenue, Vinton, IA 52349
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals