CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Charlevoix Area Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 0.7× the $95 Medicare rate · typically $52–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
About the fair price
about $5 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $65 This hospital $60 Cash price $121 Hospital's list price $142

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 $60

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 $65 (about 0.7× the $95 Medicare rate). Charlevoix Area Hospital charges insurers about $60, or about $121 in cash — about the fair price. Located in Charlevoix, MI.

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✓ Cigna HumanaKaiser 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 $28 - $142 29%
Blue Cross Blue Shieldmajor $28 - $151 29%
Aetnamajor $28 - $147 29%
Cignamajor $59 - $163 62%
Meridian $42 - $64 44%
Molina $30 - $83 32%
Priority Health $28 - $163 29%
+ 13 smaller / regional plans $28 - $155
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals