CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Ochsner Rush Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$128

about 1.3× the $95 Medicare rate · typically $71–$147

modeled estimate · not a bill or quote

What this hospital charges insurers

$137

About the fair price

about $9 over the fair price · 1.4× Medicare

Medicare pays $95 Fair price $128 This hospital $137 Cash price $68 Hospital's list price $220

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 $137

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 $128 (about 1.3× the $95 Medicare rate). Ochsner Rush Hospital charges insurers about $137, or about $68 in cash — about the fair price. Located in Meridian, 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	$90 - $246	95%
Blue Cross Blue Shieldmajor	$84 - $122	88%
Aetnamajor	$84 - $143	88%
Cignamajor	$56 - $246	59%
Humanamajor	$67 - $246	70%
Ambetter (Centene)	$114	120%
WellCare	$162 - $246	170%
+ 5 smaller / regional plans	$92 - $258

Government programs also on file: Medicare, Medicaid.

Excludes 4 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 68), 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 Ochsner Rush Hospital 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 Ochsner Rush Hospital

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

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