CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Daniels Memorial Hospital

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
$89
About the fair price
about $11 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $78 This hospital $89 Hospital's list price $171

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 2 charge more and 5 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). Daniels Memorial Hospital charges insurers about $89 — about the fair price. Located in Scobey, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue 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
UnitedHealthcaremajor $94 99%
+ 4 smaller / regional plans $49 - $194
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 105 5Th Ave E, Scobey, MT 59263
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals