CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Madison Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 0.7× the $95 Medicare rate · typically $55–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $10 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $65 This hospital $55 Cash price $210 Hospital's list price $280

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Lowest price of the 9 ID hospitals we have prices for — a strong deal.

Cheapest $55 Priciest $80

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $65 (about 0.7× the $95 Medicare rate). Madison Memorial Hospital charges insurers about $55, or about $210 in cash — below the fair price — a good deal. Located in Rexburg, ID.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $55 58%
Aetnamajor $55 58%
Moda Health $110 116%
Molina $55 58%
SelectHealth $56 59%
+ 3 smaller / regional plans $55 - $93
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 450 East Main Street, Rexburg, ID 83440
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals