CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Gabriels Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 1.0× the $95 Medicare rate · typically $58–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $91 This hospital $86 Cash price $114 Hospital's list price $197

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 $86

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 $91 (about 1.0× the $95 Medicare rate). St Gabriels Hospital charges insurers about $86, or about $114 in cash — about the fair price. Located in Little Falls, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $47 - $210 49%
Blue Cross Blue Shieldmajor $20 - $149 21%
Humanamajor $23 - $94 24%
HealthPartners $21 - $157 22%
Medica $23 - $97 24%
Sanford Health Plan $62 - $249 65%
UCare $25 - $231 26%
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: 815 Southeast Second Street, Little Falls, MN 56345
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals