CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Monroe Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$150
about 1.6× the $95 Medicare rate · typically $79–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$159
About the fair price
about $9 over the fair price · 1.7× Medicare
Medicare pays $95 Fair price $150 This hospital $159 Hospital's list price $289

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $25 Priciest $159

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

A fair price for a Office visit, established patient (20-29 min) is about $150 (about 1.6× the $95 Medicare rate). Monroe Hospital charges insurers about $159 — about the fair price. Located in Bloomington, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $159 167%
Blue Cross Blue Shieldmajor $159 167%
+ 2 smaller / regional plans $159
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals