CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Christus St Frances Cabrini Hospital

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $274
Cash Discount Price: $109
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Christus St Frances Cabrini Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 2.88x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$274

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: $109 (115%)

Insurance Median: $274 (288%)

Cash: $109 (115% of Medicare)

Ins. Median: $274 (288% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 288% of the Medicare baseline (a markup of 188%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$26 - $1,137	27%
Christus Health	$33 - $332	35%
Amerihealth Caritas Louisiana	$38	40%
Healthy Blue Louisiana	$38	40%
Louisiana Healthcare Connections	$38	40%
UnitedHealthcare	$38 - $1,579	40%
Humana	$39 - $1,386	41%
Blue Cross Blue Shield	$57 - $790	60%
Lsu First Choice Verity	$109 - $790	115%
Vantage Health Plan Inc.	$109 - $790	115%
Cigna	$129 - $947	136%
Arcadian Health Plan	$131 - $947	138%
Gilsbar, Inc.	$131 - $947	138%
Healthcare Highways	$131 - $947	138%
Verity Healthnet	$131 - $947	138%
Healthsmart	$142 - $1,263	149%
Ppoplus Llc	$142 - $1,026	149%
Five Point Credit Union	$153 - $1,105	161%
Multiplan	$153 - $1,105	161%
Phcs	$153 - $1,105	161%
Health Management Network	$174 - $1,263	183%
Provider Select	$174 - $1,263	183%
First Health	$185 - $1,342	194%
Triwest	$185 - $1,342	194%
Verity Healthnet National	$185 - $1,342	194%

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 $109.
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 Christus St Frances Cabrini Hospital 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.