CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: North Memorial Health Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 1.0× the $95 Medicare rate · typically $63–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
Below the fair price — a good deal
about $24 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $97 This hospital $73 Cash price $188 Hospital's list price $292

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $55 Priciest $73

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

A fair price for a Office visit, established patient (20-29 min) is about $97 (about 1.0× the $95 Medicare rate). North Memorial Health Hospital charges insurers about $73, or about $188 in cash — below the fair price — a good deal. Located in Robbinsdale, MN.

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 $66 - $176 69%
Blue Cross Blue Shieldmajor $49 - $196 51%
Aetnamajor $71 75%
Cignamajor $277 291%
Humanamajor $71 75%
HealthPartners $48 - $266 50%
Medica $49 - $207 51%
UCare $58 - $115 61%
+ 1 smaller / regional plan $53 - $54
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3300 Oakdale North, Robbinsdale, MN 55422
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals