CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: The James B. Haggin Memorial Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$67
about 0.7× the $95 Medicare rate · typically $38–$137
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $67 Hospital's list price $264
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✓ Humana CignaKaiser 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 | $30 - $187 | 32% |
| Blue Cross Blue Shieldmajor | $73 - $289 | 77% |
| Aetnamajor | $30 - $81 | 32% |
| Humanamajor | $30 - $81 | 32% |
Government programs also on file: Medicare, Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at The James B. Haggin Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other KY hospitals
- Monroe County Medical Center · Tompkinsville $42
- Whitesburg Arh Hospital · Whitesburg $56
- Highlands Arh Regional Medical Center · Prestonsburg $56
- T J Samson Community Hospital · Glasgow $56
- Middlesboro Arh Hospital · Middlesboro $56
- Hazard Arh Regional Medical Center · Hazard $56
- Tug Valley Arh Regional Medical Center · South Williamson $56
- Paintsville Arh Hospital · Paintsville $56
Insurance negotiated median for the same procedure, sorted lowest first.