CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Madelia Health

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 1.0× the $95 Medicare rate · typically $58–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $37 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $92 This hospital $55 Cash price $122 Hospital's list price $163

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Lowest price of the 9 MN hospitals we have prices for — a strong deal.

Cheapest $55 Priciest $67

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 $92 (about 1.0× the $95 Medicare rate). Madelia Health charges insurers about $55, or about $122 in cash — below the fair price — a good deal. Located in Madelia, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $42 - $56 44%
Blue Cross Blue Shieldmajor $23 - $55 24%
HealthPartners $52 55%
UCare $42 - $89 44%
Government programs also on file: Military & VA.
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: 121 Drew Avenue Southeast, Madelia, MN 56062
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals