CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Chelsea Hospital

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99213
  • Insurance Median: $95
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Chelsea Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 1.00x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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%)
Insurance Median: $95 (100%)
Ins. Median: $95 (100% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicaid / KanCare $50 - $80 53%
Albany County Correctional Facility $59 62%
Ambetter / Centene $59 62%
Amish Mennonite $59 62%
Ascension St. Vincent Public Safety Medical $59 62%
Bccp $59 62%
Blue Cross Blue Shield $59 - $94 62%
Bmc Healthnet $59 62%
Breast Grant-Connecticut $59 62%
Broward County Dept Of Health $59 62%
California Health And Wellness $59 62%
Cardinal Innovations Lme $59 62%
Care Connections Of Northern Iowa $59 62%
Care Oregon Ohp $59 62%
Cencal Health Plan $59 62%
Cenpatico $59 62%
Chhuny $59 62%
Childrens Comm Health Plan $59 62%
Childrens Medical Services Title 19 $59 62%
Cigna $59 - $138 62%
City Of Philadelphia $59 62%
Cmh Allegan County $59 62%
Cmh Ausable Valley $59 62%
Cmh Barry County $59 62%
Cmh Bay-Arenac County $59 62%
Cmh Berrien County $59 62%
Cmh Cass County $59 62%
Cmh Central Mi County $59 62%
Cmh Clinton-Eaton-Ingham County $59 62%
Cmh Detroit Wayne Integrated Health Network $59 62%
Cmh Genesee County $59 62%
Cmh Ionia County $59 62%
Cmh Jackson County/Lifeways $59 62%
Cmh Kalamazoo $59 62%
Cmh Kent County $59 62%
Cmh Lenawee County $59 62%
Cmh Livingston County $59 62%
Cmh Macomb $59 62%
Cmh Misc $59 62%
Cmh Monroe County $59 62%
Cmh Montcalm County $59 62%
Cmh Muskegon County $59 62%
Cmh Newaygo County $59 62%
Cmh North Country $59 62%
Cmh Northern Lakes County $59 62%
Cmh Oakland County $59 62%
Cmh Ottawa County $59 62%
Cmh Van Buren County $59 62%
Cmh Washtenaw County $59 62%
Cmh Wayne County/Carelink $59 62%
Cmh Wayne Cty/Com Liv Svcs $59 62%
Cmh West Mi County $59 62%
Community Benefit Health $59 62%
Community Care Behavorial Health $59 62%
Community Care Partners $59 62%
Community Health Choice $59 62%
Connections Csp $59 62%
County Coroner $59 62%
County Funding Generic $59 62%
Covid19 Hrsa Uninsured Testing And Treatment Fund $59 62%
Dean Wi Badgercare $59 62%
Delaware County Department Of Health $59 62%
Delaware First Health $59 62%
Delta Dental Nj $59 62%
Dph Tb Program $59 62%
Dscc $59 62%
Eastpointe Lme $59 62%
Family Health Network $59 62%
Freedom First Healthcare $59 62%
Fresno County Ccs $59 62%
Ghc Scw Wi Badgercare $59 62%
Harbor Health $59 62%
Health Safety Net $59 62%
Healthy Blue Ne $59 62%
Hennepin Health $59 62%
Humana $59 - $111 62%
Id County Ada $59 62%
Id County Canyon $59 62%
Id County Cat Fund $59 62%
Id County Other $59 62%
Id County Payette $59 62%
Idaho Dept Health And Wellfare $59 62%
Idaho Womens Health Check $59 62%
Indiana Breast Cervical Cancer $59 62%
Inland Empire Health Plan $59 62%
Intercommunity Health Ohp $59 62%
Iowa Total Care $59 62%
Jai Medical System $59 62%
Kern Family Health Plan $59 62%
Keystone First $59 62%
Keystone First Chip $59 62%
La Care Health Plan $59 62%
Lakeland Care Inc $59 62%
Managed Health Services - Indiana $59 62%
Maryland Breast & Cervical Program $59 62%
Maryland Healthy Smiles - Scion Dental $59 62%
Maryland Physicians Care $59 62%
Massachusetts Behavioral Health Partnership $59 62%
Mdwise $59 62%
Medi-Cal $59 62%
Medi-Cal Healthnet $59 62%
Medstar Dc Healthy Family $59 62%
Medstar Md Health Choice $59 62%
Mo Home State Health Plan $59 62%
Molina Centennial Care $59 62%
Nascentia Health Options $59 62%
Nebraska Total Care $59 62%
New York Cancer Services Program $59 62%
Nextlevel Health $59 62%
Oregon Screenwise $59 62%
Pace Of Southwest Michigan $59 - $94 62%
Paramount Advantage $59 62%
Parkland Community Health Plan $59 62%
Partners Behavioral Lme $59 62%
Peach State Healthplan $59 62%
Philadelphia County Funding $59 62%
Presbyterian Centennial Care $59 62%
Prestige Health Choice $59 62%
Priority Partners $59 62%
Robert F Sing Program $59 62%
Rx 340B Pass Along $59 62%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $59 62%
Rx Medi-Cal $59 62%
Rx Meridian Rx $59 62%
Ryan White Florida Mssrp $59 62%
Sandhills Center Lme $59 62%
Screening For Life $59 62%
St Joseph County Hlth Dpt $59 62%
Stephenson Cty Health $59 62%
Sunshine State Health Plan $59 62%
Superior Health $59 62%
Tenncare $59 62%
Texas Children'S Health Plan $59 62%
Trillium Community Ohp $59 62%
Tufts Health Public Plans $59 62%
UnitedHealthcare $59 - $94 62%
Vaya Health Lme $59 62%
Washtenaw Health Plan $59 62%
Wellsense Health Plan $59 62%
Wi Womens Wellness $59 62%
Aetna $62 - $135 65%
Mclaren Health $64 67%
Asr Health Benefits $78 82%
Hap $78 - $158 82%
Varipro $78 82%
Blue Care Network $79 83%
Oscar $84 88%
Blue Benefit Administrators Of Massachusetts $86 90%
Blue Distinction Transplant $86 90%
Blue Shield - Ca $86 90%
Blue Shield - Id (Regence) $86 90%
Blue Shield - Ny Highmark Northeastern $86 90%
Blue Shield - Ny Highmark Western $86 90%
Blue Shield - Pa (Highmark) $86 90%
Blue Shield - Wa (Regence) $86 90%
Bcccp-Michigan $88 92%
Champva $89 93%
Tricare $89 93%
Triwest Health Alliance $89 93%
Us Family Health Plan $89 93%
Veterans Eval Services $89 93%
Geha $93 98%
Ally Align Care Adv $94 99%
American Health Advantage Of Idaho $94 99%
American Health Plan $94 99%
Aurora Special Needs $94 99%
Blue Care Network Advantage $94 99%
Blue Shield - De (Highmark) Medciare Advantage $94 99%
Care Dimensions $94 99%
Care Improvement Plus $94 99%
Care Resources Pace $94 99%
Careplus Health Plans $94 99%
Cca Senior Care Options $94 99%
Central Valley Medical Services Corp Pace $94 99%
Champion Health Plan Mcr Advantage $94 99%
Clear Spring Health $94 99%
Clover Health $94 99%
Commonwealth Care Alliance $94 99%
Community Pace At Home $94 99%
Eddy Senior Care-Pace $94 99%
Eddy Seniorcare Pace $94 99%
Elementcare $94 99%
Evercare $94 99%
Everence $94 99%
Gateway Health Plan $94 99%
Genesys Pace Of Genesee County $94 99%
Georgia Health Advantage $94 99%
Gold Advantage $94 99%
Gpa Croell Redi Mix $94 99%
Health America Advantra $94 99%
Highmark Health Options Dual Plan $94 99%
Hope Select Pace $94 99%
Horizon Nj Total Care $94 99%
Hudson Headwaters Pace $94 99%
Huron Valley Pace $94 99%
Innovative Integrated Health Community Plans $94 99%
Iowa Health Advantage $94 99%
Johns Hopkins Advantage Md $94 99%
Lasso Healthcare Msa $94 99%
Life St Marys Pace $94 99%
Lifecircles Pace $94 99%
Longevity Health Plan $94 99%
Martins Point Generations Advantage $94 99%
Mass General Brigham Mcr Adv $94 99%
Medicare (plans) $94 - $98 99%
Medipak Advantage $94 99%
Mercy Life $94 99%
Mercyone Cedar Valley $94 99%
Meridian Complete $94 99%
Michigan Complete Health $94 99%
Nascentia Health Plus $94 99%
New Centry Health Careplus $94 99%
Osu Prime Care Advantage $94 99%
Pace Cny $94 99%
Pace Iowa Immanuel Pathways $94 99%
Pace Southeast $94 99%
Pace-Trinity Health $94 99%
Peak Pace Solutions $94 99%
Perennial Advantage $94 99%
Preferred Care Partners $94 99%
Presbyterian Senior Plan $94 99%
Provider Partners Health Plan Of Illinois $94 99%
Provider Partners Health Plan Of Indiana $94 99%
Pruitthealth Premier $94 99%
Reliance Community Care Partners Care Resources Pace $94 99%
Rx Allwin $94 99%
Rx Grane Grnmedd $94 99%
Rx Retiree Rx Care $94 99%
Scan Health Plan Mcr Ipa Meritage Oon $94 99%
Secure Horizons Ma Pffs $94 99%
Serenity Pace $94 99%
Siouxland Pace $94 99%
Solis Health Plans $94 99%
Sunnyview-Pace Finance Dept $94 99%
Texan Plus $94 99%
The Health Plan $94 - $111 99%
Thome Pace $94 99%
Todays Options $94 99%
Tribute Health Plans $94 99%
Um Health Advantage $94 99%
Union Health Service $94 99%
Welbe Health $94 99%
Wellmed $94 99%
Align Senior Care $96 101%
Veterans Administration $96 101%
Cca - Zing Health $103 108%
Longevity Ipa Of Michigan Llc Health Plan Isnp $108 113%
Priority Health $109 115%
Access Health $111 117%
Acclaim $111 117%
Administrative Concepts $111 117%
Allegeant $111 117%
Allied Benefit Systems $111 117%
Ameriben $111 117%
American Family $111 117%
American Healthcare Alliance $111 117%
American National $111 117%
American Republic $111 117%
Amerihealth $111 117%
Aultcare $111 117%
Automated Benefit Services $111 117%
Auxiant $111 117%
Benefit Administrative Systems,Llc $111 117%
Boon Chapman $111 117%
Cam Administrative Services $111 117%
Christian Brother Services $111 117%
Christian Brothers Holy Cross $111 117%
Claimchoice Adminstrators $111 117%
Comprehensive Benefits $111 117%
Consociate $111 117%
Continental Life Insurance $111 117%
Coventry $111 117%
Custom Benefit Administrators $111 117%
Cypress Benefit Administrators $111 117%
Employee Benefit Concepts $111 117%
Employee Benefit Management $111 117%
Enterprise Group Planning $111 117%
First Health $111 117%
Forest County Potawatomi $111 117%
Freedom Life Insurance Company $111 117%
Group Administrators $111 117%
Group Marketing Services $111 117%
Group Pension Administrators $111 117%
Guardian $111 117%
Health America $111 117%
Health Choices $111 117%
Health Smart $111 117%
Healthcare Management Admin $111 117%
Healthez $111 117%
Healthgram $111 117%
Healthscope $111 117%
Insight $111 117%
Intercare $111 117%
Jfp Benefit Management $111 117%
Jp Farley Corporation $111 117%
Key Benefit Administrator $111 117%
Liberty Union Life Assurance Co $111 117%
Lucent Health $111 117%
Luminare Health $111 117%
Luminare Health (Detroit) $111 117%
Magnacare $111 117%
Medben $111 117%
Medcost $111 117%
Medical Mutual $111 117%
Mutual Health Services $111 117%
Mutual Of Omaha $111 117%
Ncas $111 117%
Nippon Life Ins $111 117%
Nova $111 117%
Painters Union Insurance Fund $111 117%
Physicians Mutual $111 117%
Plumbers Local 98 Insurance Fund $111 117%
Prairie States $111 117%
Preferred One $111 117%
Primary Physician Care $111 117%
Professional Benefit Administrators $111 117%
Secureone Preferred United Plans $111 117%
Siho Insurance Services $111 117%
Sisco Benefits $111 117%
The Loomis Company $111 117%
Trustmark Small Business Benefits $111 117%
Unicare $111 117%
Unified Group Services $111 117%
Us Health And Life $111 117%
Valenz $111 117%
Webtpa $111 117%
Western & Southern Financial Group $111 117%
Wps $111 117%
U Of M Health Plan $115 121%
Meritain $121 127%
Wc Accident Fund $128 134%
Wc Advantage $128 134%
Wc Aig $128 134%
Wc Allied $128 134%
Wc Amerisure $128 134%
Wc Amtrust $128 134%
Wc Asu Risk Mgt $128 134%
Wc Berkley Admin $128 134%
Wc Broadspire $128 134%
Wc Bunch & Associates $128 134%
Wc Ccmsi $128 134%
Wc Emc Insurance Company $128 134%
Wc Esis $128 134%
Wc Fcci $128 134%
Wc Federated $128 134%
Wc Gallagher Bassett $128 134%
Wc Genex Care For Ohio $128 134%
Wc Guard Insurance Company $128 134%
Wc Hartford $128 134%
Wc Liberty Mutual $128 134%
Wc Meijers $128 134%
Wc Michigan $128 134%
Wc Mitchell Frankenmuth $128 134%
Wc Pma $128 134%
Wc Sedgwick $128 134%
Wc Sentry $128 134%
Wc Travelers $128 134%
Wc Tristar $128 134%
Wc Walmart $128 134%
Wc Zurich $128 134%
1199 National Benefit Fund $129 136%
Allied National Global Care $129 136%
Asrm - Reliance Standard Life Insurance $129 136%
Christian Care Ministry $129 136%
Dean Health $129 136%
Fallon Health $129 136%
Family Life Insurance Company $129 136%
International Benefit Administrators $129 136%
Lifetime Benefit Solutions $129 136%
Manhattan Life $129 136%
Molina Marketplace $129 136%
Multiplan $129 136%
Mvp $129 136%
Pai $129 136%
Pan-American Life $129 136%
Phcs $129 136%
Trinity Health Share $129 136%
Wellpath $129 136%
Andrie Inc $135 142%
East Greenbush Central School District $135 142%
Genex Wc $135 142%
Healthsmart Workers Comp $135 142%
Jag Source $135 142%
New York State Insurance Fund $135 142%
Njm Insurance Group $135 142%
Rx Heatlhcomp $135 142%
Rx Restat $135 142%
Rx Saif Opdp Wc $135 142%
Rx Worker'S Comp $135 142%
Wc Ace $135 142%
Wc Acs Federal Employees $135 142%
Wc Acuity $135 142%
Wc Aegis $135 142%
Wc Aims $135 142%
Wc Alaska National Ins $135 142%
Wc Align Network $135 142%
Wc Am Trust N America $135 142%
Wc American Claims Mgmt $135 142%
Wc Benetech $135 142%
Wc Broward County $135 142%
Wc California State Comp Ins $135 142%
Wc California State Ins Fund $135 142%
Wc Capitol Area Health Consortium $135 142%
Wc Chartis $135 142%
Wc Chubb $135 142%
Wc Cirma $135 142%
Wc City Of Albany $135 142%
Wc City Of Sioux City $135 142%
Wc Claims Mgmt Inc $135 142%
Wc Cna $135 142%
Wc Comp One Admin C/O Manageability $135 142%
Wc Compone Admin $135 142%
Wc Corvel $135 142%
Wc Ct Healthcare Trust $135 142%
Wc Donegal Insurance Group $135 142%
Wc Employee Mutual $135 142%
Wc Enablecomp $135 142%
Wc Encore Health Network $135 142%
Wc Erie $135 142%
Wc Evolutions $135 142%
Wc Fed Ex $135 142%
Wc Federal Black Lung $135 142%
Wc Finley Occupational Health $135 142%
Wc First Agency/Occunet $135 142%
Wc Ford Motor $135 142%
Wc Fresno Unified Emp $135 142%
Wc General Motors $135 142%
Wc Generic $135 142%
Wc Great West Casualty $135 142%
Wc Guarantee Insurance $135 142%
Wc Hab $135 142%
Wc Hastings $135 142%
Wc Health Management $135 142%
Wc Heritage Summit $135 142%
Wc Hireright $135 142%
Wc Horizon $135 142%
Wc Icw Group $135 142%
Wc Idaho State Ins Fund $135 142%
Wc Intercare Insurance $135 142%
Wc Intermountain $135 142%
Wc Johns Eastern $135 142%
Wc Kemberton $135 142%
Wc Key Ins & Benefit Solutions $135 142%
Wc Mac Risk Management $135 142%
Wc Massachusetts $135 142%
Wc Mdia $135 142%
Wc Meadowbrook Claim $135 142%
Wc Medical Administrators $135 142%
Wc Memic $135 142%
Wc Mercy Workcare $135 142%
Wc Michigan Millers Mutual $135 142%
Wc Mra $135 142%
Wc Nationwide $135 142%
Wc Nca Comp $135 142%
Wc New York $135 142%
Wc New York Special Funds $135 142%
Wc North American Rishces $135 142%
Wc Northeast Health $135 142%
Wc Notre Dame $135 142%
Wc Novanet $135 142%
Wc O'Hara Corp $135 142%
Wc Occ Health Allen $135 142%
Wc Ohio Bureau $135 142%
Wc One Call Medical $135 142%
Wc Paradigm $135 142%
Wc Peerless $135 142%
Wc Praxis Health Network $135 142%
Wc Price Chopper $135 142%
Wc Procura Management $135 142%
Wc Qualcare $135 142%
Wc Quiktrip $135 142%
Wc Reny Company $135 142%
Wc Rev Claims $135 142%
Wc Risico $135 142%
Wc Rural Mutual $135 142%
Wc Saif Oregon $135 142%
Wc Secura $135 142%
Wc Sheakley Unicomp $135 142%
Wc Smile Lodge $135 142%
Wc Society $135 142%
Wc Srs $135 142%
Wc Taconic (Mro) $135 142%
Wc Taconic Farms $135 142%
Wc Triad Group $135 142%
Wc Troy Ny $135 142%
Wc Tyson $135 142%
Wc Unified Health Services $135 142%
Wc United Heartland $135 142%
Wc Us Dept Of Labor $135 142%
Wc Velocity $135 142%
Wc West Bend $135 142%
Wc West Bend Mutual/Argent $135 142%
Wc Winnebago Industries $135 142%
Wc Yankee Trails $135 142%
Wc York Risk $135 142%
Wc Zenith $135 142%
American Postal Workers Secondary $138 145%
Partners Direct Health - Brio $139 146%
Claimdoc $148 155%
Kent County Jail $148 155%
Muskegon County Jail $148 155%
Health Partners $158 166%
Tufts Health Plan $158 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals