Office visit, established patient (20-29 min)
Facility: West Carroll Memorial Hospital
Billing Code: 99213 (CPT)
- CPT Billing Code: 99213
- Insurance Median: $74
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.78x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Boon Chapman-Icl 1136 | $11 | 12% |
| Ambetter / Centene | $37 | 39% |
| Aetna | $38 - $55 | 40% |
| Louisiana Healthcare Connections | $38 | 40% |
| Medicaid / KanCare | $38 - $53 | 40% |
| Amerihealth Caritas Louisiana | $42 | 44% |
| International Benefits Administrators | $51 | 54% |
| Bankers Life And Casualty Company | $53 | 56% |
| Omaha Insurance Company | $55 | 58% |
| United Of Omaha Life Insurance Company | $55 | 58% |
| Cno (Key Bank) | $62 | 65% |
| United World Life Insurance Company | $62 | 65% |
| Golden Rule Insurance Company | $65 | 68% |
| UnitedHealthcare | $65 - $263 | 68% |
| Auxiant | $73 | 77% |
| Physicians Mutual Insurance Company | $74 | 78% |
| Mutual Of Omaha Companies Claims Department | $78 | 82% |
| Cigna | $79 | 83% |
| Blue Cross Blue Shield | $84 | 88% |
| Fep | $84 | 88% |
| Fep Postal | $84 | 88% |
| Hmo Of Louisiana | $84 | 88% |
| Humana | $177 | 186% |
| Christian Care Medi-Share | $189 | 199% |
| Healthy Blue | $200 | 210% |
| Administrative Concepts Inc | $224 | 235% |
| Ameriben Solutions | $224 | 235% |
| Insurance Systems Inc | $224 | 235% |
| Allied Benefit - Aso | $263 | 276% |
| Blue Advantage | $263 | 276% |
| Medicare (plans) | $263 | 276% |
| Novitas Solutions | $263 | 276% |
| Tricare | $263 | 276% |