CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Baptist Memorial Hospital-Oktibbeha County

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$101

about 1.1× the $95 Medicare rate · typically $63–$129

modeled estimate · not a bill or quote

What this hospital charges insurers

$101

About the fair price

1.1× Medicare

Medicare pays $95 Fair price $101 This hospital $101 Cash price $107 Hospital's list price $167

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $101

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

A fair price for a Office visit, established patient (20-29 min) is about $101 (about 1.1× the $95 Medicare rate). Baptist Memorial Hospital-Oktibbeha County charges insurers about $101, or about $107 in cash — about the fair price. Located in Starkville, MS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$64 - $258	67%
Blue Cross Blue Shieldmajor	$64 - $258	67%
Aetnamajor	$56 - $142	59%
Cignamajor	$64 - $258	67%
Humanamajor	$64 - $115	67%
Ambetter (Centene)	$64 - $104	67%
HealthLink	$45 - $180	47%
Molina	$54 - $79	57%
+ 13 smaller / regional plans	$45 - $258

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 107), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Memorial Hospital-Oktibbeha County is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baptist Memorial Hospital-Oktibbeha County

Compare: Office visit, established patient (20-29 min) at other MS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.