CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Madison Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.7× the $118 Medicare rate · typically $67–$157
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $11 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $83 This hospital $94 Cash price $196 Hospital's list price $230

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 $94

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 $83 (about 0.7× the $118 Medicare rate). Madison Hospital charges insurers about $94, or about $196 in cash — about the fair price. Located in Madison, 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 $53 - $2,713 45%
Blue Cross Blue Shieldmajor $53 - $2,713 45%
Aetnamajor $68 - $285 58%
Humanamajor $78 - $334 66%
HealthPartners $57 - $293 48%
Medica $78 - $264 66%
Sanford Health Plan $133 - $286 113%
+ 1 smaller / regional plan $57 - $351
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals