CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Porter-Starke Services Inc

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 1.0× the $95 Medicare rate · typically $53–$159
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
Below the fair price — a good deal
about $46 under the fair price · 0.5× Medicare
Medicare pays $95 Fair price $95 This hospital $49 Cash price $127 Hospital's list price $127

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IN hospitals compared.

Cheapest $25 Priciest $68

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 $95 (about 1.0× the $95 Medicare rate). Porter-Starke Services Inc charges insurers about $49, or about $127 in cash — below the fair price — a good deal. Located in Valparaiso, 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 $40 - $49 42%
Blue Cross Blue Shieldmajor $72 76%
Aetnamajor $80 84%
Cignamajor $50 53%
Humanamajor $50 53%
Ambetter (Centene) $49 51%
CareSource $80 84%
+ 5 smaller / regional plans $34 - $60
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 Wall St, Valparaiso, IN 46383
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric