CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Cass County Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $59–$183
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $90 This hospital $95 Cash price $92 Hospital's list price $131

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 $95

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). Cass County Memorial Hospital charges insurers about $95, or about $92 in cash — about the fair price. Located in Atlantic, 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 $21 - $126 22%
Blue Cross Blue Shieldmajor $21 - $93 22%
Aetnamajor $21 - $132 22%
Amerigroup $21 - $58 22%
Medica $58 - $122 61%
Molina $21 - $134 22%
+ 4 smaller / regional plans $21 - $134
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals