CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Community Medical Center
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$113
about 1.2× the $95 Medicare rate · typically $71–$117
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $113 Cash price $187 Hospital's list price $312
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 | $421 | 442% |
| Aetnamajor | $129 - $377 | 136% |
Self-Pay How to get the cash price
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Other Procedures at Community Medical Center
Compare: Office visit, established patient (20-29 min) at other MT hospitals
- St Peters Health · Helena $66
- Central Montana Medical Center · Lewistown $79
- Shodair Children's Hospital · Helena $83
- Sheridan Memorial Hosptial · Plentywood $85
- Stillwater Billings Clinic · Columbus $85
- Frances Mahon Deaconess Hospital · Glasgow $89
- Daniels Memorial Hospital · Scobey $89
- Wheatland Memorial Hospital · Harlowton $90
Insurance negotiated median for the same procedure, sorted lowest first.