CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: North Sunflower Medical Center Cah

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.8× the $95 Medicare rate · typically $47–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
About the fair price
about $10 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $80 This hospital $90 Cash price $60 Hospital's list price $120

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 $90

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 $80 (about 0.8× the $95 Medicare rate). North Sunflower Medical Center Cah charges insurers about $90, or about $60 in cash — about the fair price. Located in Ruleville, MS.

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 $11 - $163 12%
Blue Cross Blue Shieldmajor $86 - $239 90%
Aetnamajor $46 - $163 48%
Humanamajor $46 - $127 48%
Ambetter (Centene) $46 - $128 48%
+ 1 smaller / regional plan $56 - $155
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 840 North Oak Avenue, Ruleville, MS 38771
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals