CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Hugh Chatham Memorial 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 $54–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$61
Below the fair price — a good deal
about $8 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $69 This hospital $61 Cash price $89 Hospital's list price $138

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NC hospitals compared.

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). Hugh Chatham Memorial Hospital charges insurers about $61, or about $89 in cash — below the fair price — a good deal. Located in Elkin, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $48 - $169 50%
Blue Cross Blue Shieldmajor $30 - $121 32%
Aetnamajor $66 - $201 69%
Humanamajor $63 66%
AmeriHealth $30 - $91 32%
+ 1 smaller / regional plan $63 - $70
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: 180 Parkwood Dr, Elkin, NC 28621
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals