CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Atrium Health Anson

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$77
about 0.8× the $95 Medicare rate · typically $60–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$79
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $77 This hospital $79

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $41 Priciest $79

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 $77 (about 0.8× the $95 Medicare rate). Atrium Health Anson charges insurers about $79 — about the fair price. Located in Wadesboro, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $51 - $99 54%
Blue Cross Blue Shieldmajor $75 - $99 79%
Aetnamajor $63 - $186 66%
Cignamajor $61 - $89 64%
Humanamajor $62 - $86 65%
Ambetter (Centene) $86 90%
AmeriHealth $51 54%
Health Net $96 101%
WellCare $50 53%
+ 7 smaller / regional plans $50 - $79
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: 2301 Us Highway 74 West, Wadesboro, NC 28170
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals