CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $67
Cash Discount Price: $100
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Cameron Memorial Community Hospital Inc is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 0.70x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)

Cash / Self-Pay: $100 (105%)

Insurance Median: $67 (70%)

Cash: $100 (105% of Medicare)

Ins. Median: $67 (70% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Buckeye Health	$34	36%
Humana	$34 - $61	36%
Molina Healthcare Of Oh	$34	36%
UnitedHealthcare	$46 - $83	48%
Aetna	$61	64%
Cigna	$61	64%
Corvel	$61	64%
Encore	$61	64%
Phcs	$61	64%
Plain Church Group Ministry	$61	64%
Sagamore Health Network	$61	64%
Php	$63	66%
Three Rivers Preferred	$65 - $6,500	68%
Lutheran Preferred	$66	69%
Caresource Indiana Of In	$67 - $84	70%
Frontpath	$69	72%
Coventry	$73	77%
Signature Care	$73	77%
Blue Cross Blue Shield	$75	79%
Managed Health Services	$84	88%
Mdwise	$84	88%
Lucent	$85	89%
Centivo	$94	99%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $100.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99213.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cameron Memorial Community Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99213.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.