CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Betsy Johnson Regional Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$69
about 0.7× the $95 Medicare rate · typically $56–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $12 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $69 This hospital $57 Cash price $137 Hospital's list price $229

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 4 of 8 other NC hospitals charge more for the same procedure.

Cheapest $41 Priciest $78

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

A fair price for a Office visit, established patient (20-29 min) is about $69 (about 0.7× the $95 Medicare rate). Betsy Johnson Regional Hospital charges insurers about $57, or about $137 in cash — below the fair price — a good deal. Located in Dunn, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $56 - $58 59%
Aetnamajor $57 - $139 60%
Humanamajor $56 - $61 59%
Ambetter (Centene) $83 - $111 87%
WellCare $56 59%
+ 7 smaller / regional plans $56 - $61
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 Tilghman Dr, Dunn, NC 28334
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals