CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Bingham Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.9× the $95 Medicare rate · typically $78–$131
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $88 This hospital $93 Cash price $98 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $55 Priciest $93

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

A fair price for a Office visit, established patient (20-29 min) is about $88 (about 0.9× the $95 Medicare rate). Bingham Memorial Hospital charges insurers about $93, or about $98 in cash — about the fair price. Located in Blackfoot, ID.

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 $81 - $107 85%
Blue Cross Blue Shieldmajor $73 - $144 77%
Aetnamajor $123 - $133 129%
PacificSource $82 - $128 86%
SelectHealth $102 - $107 107%
+ 7 smaller / regional plans $35 - $136
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 98 Poplar Street, Blackfoot, ID 83221
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals