CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Lukes Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $75–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $16 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $99 This hospital $83 Cash price $193 Hospital's list price $356

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 $68 Priciest $83

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

A fair price for a New patient office visit (30-44 min) is about $99 (about 0.8× the $118 Medicare rate). St Lukes Hospital charges insurers about $83, or about $193 in cash — below the fair price — a good deal. 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✓ Humana CignaKaiser 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 $61 - $280 52%
Blue Cross Blue Shieldmajor $61 - $333 52%
Aetnamajor $75 64%
Humanamajor $80 - $93 68%
HealthPartners $76 - $239 65%
Medica $75 - $292 64%
Security Health Plan $74 - $220 63%
UCare $60 - $78 51%
+ 1 smaller / regional plan $74
Government programs also on file: 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: 915 East 1St Street, Duluth, MN 55805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals