CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.8× the $95 Medicare rate · typically $61–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
0.8× Medicare
Medicare pays $95 Fair price $75 This hospital $75 Cash price $129 Hospital's list price $152

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $34 Priciest $75

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $75 (about 0.8× the $95 Medicare rate). Munson Healthcare Cadillac Hospital charges insurers about $75, or about $129 in cash — about the fair price. Located in Cadillac, MI.

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 $42 - $103 44%
Blue Cross Blue Shieldmajor $43 - $107 45%
Aetnamajor $60 - $126 63%
Cignamajor $75 - $159 79%
Humanamajor $57 - $91 60%
Meridian $42 - $48 44%
Molina $42 - $99 44%
Priority Health $42 - $159 44%
WellCare $57 - $91 60%
+ 16 smaller / regional plans $30 - $852
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals