CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Rush Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.8× the $118 Medicare rate · typically $61–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
About the fair price
about $11 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $94 This hospital $105 Cash price $176 Hospital's list price $235

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 $45 Priciest $105

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

A fair price for a New patient office visit (30-44 min) is about $94 (about 0.8× the $118 Medicare rate). Rush Memorial Hospital charges insurers about $105, or about $176 in cash — about the fair price. Located in Rushville, IN.

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 $59 - $313 50%
Blue Cross Blue Shieldmajor $119 - $286 101%
Aetnamajor $59 - $359 50%
Cignamajor $77 - $313 65%
Humanamajor $75 - $359 64%
CareSource $92 - $194 78%
Health Net $77 - $115 65%
+ 7 smaller / regional plans $59 - $383
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1300 N Main St, Rushville, IN 46173
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals