CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Massac Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.8× the $118 Medicare rate · typically $87–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $4 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $91 This hospital $87 Cash price $134 Hospital's list price $192

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $60 Priciest $87

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

A fair price for a New patient office visit (30-44 min) is about $91 (about 0.8× the $118 Medicare rate). Massac Memorial Hospital charges insurers about $87, or about $134 in cash — about the fair price. Located in Metropolis, 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 $84 - $367 71%
Blue Cross Blue Shieldmajor $50 - $420 43%
Aetnamajor $53 - $357 45%
Cignamajor $82 - $360 70%
Humanamajor $53 - $277 45%
HealthLink $73 - $320 62%
Molina $71 - $107 60%
+ 3 smaller / regional plans $53 - $284
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 28 Chick Street, Po Box 850, Metropolis, IL 62960
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals