CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Wabash General Hospital 1
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$97
about 1.0× the $95 Medicare rate · typically $53–$201
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $97 Cash price $135 Hospital's list price $135
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $47 - $204 | 49% |
| Blue Cross Blue Shieldmajor | $45 - $204 | 47% |
| Aetnamajor | $77 - $130 | 81% |
| Cignamajor | $87 - $115 | 91% |
| Health Net | $105 - $138 | 110% |
| HealthLink | $81 - $107 | 85% |
| + 5 smaller / regional plans | $48 - $208 |
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wabash General Hospital 1
Compare: Office visit, established patient (20-29 min) at other IL hospitals
- Carle Hoopeston Regional Health Center · Hoopeston $48
- Memorial Hospital · Carthage $49
- Ferrell Hospital Community Foundations · Eldorado $52
- Sarah Bush Lincoln Health Center · Mattoon $58
- Kirby Medical Center · Monticello $58
- Morrison Community Hospital · Morrison $58
- Riverside Medical Center · Kankakee $60
- Washington County Hospital · Nashville $60
Insurance negotiated median for the same procedure, sorted lowest first.