CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Winnmed

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.9× the $118 Medicare rate · typically $74–$216
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
Below the fair price — a good deal
about $16 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $101 This hospital $85 Cash price $162 Hospital's list price $231

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 $46 Priciest $85

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

A fair price for a New patient office visit (30-44 min) is about $101 (about 0.9× the $118 Medicare rate). Winnmed charges insurers about $85, or about $162 in cash — below the fair price — a good deal. Located in Decorah, IA.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $80 68%
Blue Cross Blue Shieldmajor $115 - $137 98%
Aetnamajor $76 65%
HealthPartners $78 66%
Medica $85 72%
+ 1 smaller / regional plan $167 - $314

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 901 Montgomery Street, Decorah, IA 52101
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals