CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Essentia Health St Mary's Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$105
about 1.1× the $95 Medicare rate · typically $58–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
About the fair price
about $12 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $105 This hospital $117 Cash price $103 Hospital's list price $156

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 $117

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 $105 (about 1.1× the $95 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $117, or about $103 in cash — about the fair price. Located in Duluth, MN.

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 $84 - $143 88%
Blue Cross Blue Shieldmajor $51 - $149 54%
Aetnamajor $98 - $167 103%
Cignamajor $82 - $140 86%
HealthPartners $46 - $140 48%
Medica $38 - $120 40%
Sanford Health Plan $49 - $88 51%
Security Health Plan $89 - $151 93%
UCare $76 - $129 80%
+ 4 smaller / regional plans $51 - $169
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: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals