CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Woodlawn Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$83
about 0.9× the $95 Medicare rate · typically $48–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
Below the fair price — a good deal
about $10 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $83 This hospital $73 Cash price $182 Hospital's list price $243

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 $73

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 $83 (about 0.9× the $95 Medicare rate). Woodlawn Hospital charges insurers about $73, or about $182 in cash — below the fair price — a good deal. Located in Rochester, 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 $55 - $270 58%
Blue Cross Blue Shieldmajor $59 - $270 62%
Aetnamajor $59 - $256 62%
Cignamajor $193 - $230 203%
Humanamajor $59 - $210 62%
Ambetter (Centene) $73 - $79 77%
CareSource $59 - $270 62%
+ 12 smaller / regional plans $52 - $270
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals