CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Sheridan Memorial Hosptial

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$78
about 0.8× the $95 Medicare rate · typically $47–$166
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $7 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $78 This hospital $85 Cash price $242 Hospital's list price $269

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 4 charge more and 3 charge less, among the 9 MT hospitals compared.

Cheapest $66 Priciest $105

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $78 (about 0.8× the $95 Medicare rate). Sheridan Memorial Hosptial charges insurers about $85, or about $242 in cash — about the fair price. Located in Plentywood, MT.

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
Health Net $181 - $304 190%
+ 3 smaller / regional plans $83 - $88
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 440 W Laurel Ave, Plentywood, MT 59254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals