CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Washington County Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.8× the $95 Medicare rate · typically $50–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
Below the fair price — a good deal
about $12 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $72 This hospital $60 Cash price $161 Hospital's list price $201

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

On the higher side — 6 of 8 other IL hospitals charge less.

Cheapest $48 Priciest $62

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

A fair price for a Office visit, established patient (20-29 min) is about $72 (about 0.8× the $95 Medicare rate). Washington County Hospital charges insurers about $60, or about $161 in cash — below the fair price — a good deal. Located in Nashville, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $60 - $141 63%
Blue Cross Blue Shieldmajor $45 - $121 47%
Aetnamajor $45 - $156 47%
Cignamajor $84 - $147 88%
Humanamajor $60 - $90 63%
Ambetter (Centene) $60 - $90 63%
HealthLink $50 - $171 53%
Medica $60 - $125 63%
Meridian $45 - $90 47%
Molina $45 - $90 47%
WellCare $60 - $90 63%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 705 S Grand Ave, Nashville, IL 62263
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals