CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.8× the $95 Medicare rate · typically $51–$138
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $8 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $79 This hospital $87 Cash price $190 Hospital's list price $211

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 $48 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 Office visit, established patient (20-29 min) is about $79 (about 0.8× the $95 Medicare rate). Sarah D Culbertson Memorial Hospital charges insurers about $87, or about $190 in cash — about the fair price. Located in Rushville, 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 $76 - $361 80%
Blue Cross Blue Shieldmajor $45 - $393 47%
Aetnamajor $45 - $361 47%
Cignamajor $70 - $296 74%
Humanamajor $76 - $254 80%
HealthLink $149 - $361 157%
Meridian $45 - $87 47%
Molina $45 - $254 47%
+ 4 smaller / regional plans $142 - $361
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 238 South Congress Street, Rushville, IL 62681
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals