CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Hospital District #1 of Rice County

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.9× the $95 Medicare rate · typically $59–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
Below the fair price — a good deal
about $15 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $83 This hospital $68 Cash price $68 Hospital's list price $90

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $68

Black dot = this hospital, among the 9 KS 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). Hospital District #1 of Rice County charges insurers about $68, or about $68 in cash — below the fair price — a good deal. Located in Lyons, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $34 - $457 36%
Blue Cross Blue Shieldmajor $133 140%
Aetnamajor $45 - $414 47%
Cignamajor $55 - $504 58%
Ambetter (Centene) $34 - $313 36%
HealthPartners $55 - $504 58%
+ 4 smaller / regional plans $34 - $409
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 619 South Clark Avenue, Lyons, KS 67554
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals