CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Wayne General Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$101
about 1.1× the $95 Medicare rate · typically $62–$139
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $101 Cash price $148 Hospital's list price $148
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 | $58 - $424 | 61% |
| Blue Cross Blue Shieldmajor | $122 - $880 | 128% |
| Aetnamajor | $78 - $471 | 82% |
| Cignamajor | $20 - $207 | 21% |
| Humanamajor | $39 - $187 | 41% |
| Amerigroup | $55 - $207 | 58% |
| HealthLink | $55 - $400 | 58% |
| HealthPartners | $55 - $400 | 58% |
| Molina | $48 - $207 | 50% |
| WellCare | $55 - $207 | 58% |
| + 12 smaller / regional plans | $26 - $588 |
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wayne General Hospital
Compare: Office visit, established patient (20-29 min) at other MS hospitals
- Magnolia Regional Health Center · Corinth $48
- Tallahatchie General Hospital-Cah · Charleston $54
- Memorial Hospital Biloxi · Biloxi $55
- Neshoba County General Hospital · Philadelphia $55
- Magee General Hospital · Magee $56
- Singing River Health System · Pascagoula $58
- Singing River Gulfport · Gulfport $58
- Methodist Healthcare - Olive Branch Hospital · Olive Branch $60
Insurance negotiated median for the same procedure, sorted lowest first.