CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Cabinet Peaks Medical Center
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$74
about 0.8× the $95 Medicare rate · typically $50–$117
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $74 Cash price $78 Hospital's list price $111
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 of 6 major insurers have a published price at this hospital
UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 |
|---|---|---|
| No insurance-company prices are published for this procedure. | ||
| + 4 smaller / regional plans | $34 - $147 | |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cabinet Peaks 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.