CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Livingston Healthcare
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$77
about 0.8× the $95 Medicare rate · typically $45–$130
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $77 Cash price $95 Hospital's list price $100
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 | $48 - $170 | 50% |
| Blue Cross Blue Shieldmajor | $87 - $341 | 91% |
| Aetnamajor | $48 - $174 | 50% |
| Humanamajor | $341 | 358% |
| PacificSource | $60 - $167 | 63% |
| + 3 smaller / regional plans | $48 - $175 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Livingston Healthcare
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.