CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$105
about 1.1× the $95 Medicare rate · typically $55–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $10 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $105 This hospital $115 Cash price $177 Hospital's list price $256

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 $115

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 $105 (about 1.1× the $95 Medicare rate). Ochsner Stennis Memorial Hospital charges insurers about $115, or about $177 in cash — about the fair price. Located in De Kalb, 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 - $197 95%
Blue Cross Blue Shieldmajor $46 - $128 48%
Aetnamajor $84 - $166 88%
Cignamajor $56 - $197 59%
Humanamajor $67 - $197 70%
Ambetter (Centene) $114 - $155 120%
WellCare $93 - $197 98%
+ 5 smaller / regional plans $92 - $207
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 14365 Highway 16 West, De Kalb, MS 39328
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals