CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Sullivan County Community Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$67
about 0.7× the $95 Medicare rate · typically $46–$106
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $67 Cash price $157 Hospital's list price $210
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $37 - $371 | 39% |
| Blue Cross Blue Shieldmajor | $50 - $230 | 53% |
| Humanamajor | $34 - $437 | 36% |
| Ambetter (Centene) | $50 - $131 | 53% |
| + 5 smaller / regional plans | $50 - $437 |
Government programs also on file: Military & VA.
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Other Procedures at Sullivan County Community Hospital
Compare: Office visit, established patient (20-29 min) at other IN hospitals
- Dukes Memorial Hospital · Peru $25
- Bluffton Regional Medical Center · Bluffton $35
- Hamilton Center Inc · Terre Haute $46
- Porter-Starke Services Inc · Valparaiso $49
- Northwest Health-La Porte · La Porte $55
- Lutheran Hospital of Indiana · Fort Wayne $63
- Kosciusko Community Hospital · Warsaw $63
- Norton-King's Daughters' Health · Madison $68
Insurance negotiated median for the same procedure, sorted lowest first.