CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Wakemed, Cary Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 1.1× the $95 Medicare rate · typically $76–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $95 Fair price $100 This hospital $97 Cash price $95 Hospital's list price $250

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 $97

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 $100 (about 1.1× the $95 Medicare rate). Wakemed, Cary Hospital charges insurers about $97, or about $95 in cash — about the fair price. Located in Cary, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $58 - $125 61%
Aetnamajor $112 - $170 118%
Cignamajor $74 - $128 78%
Ambetter (Centene) $95 - $127 100%
AmeriHealth $37 39%
WellCare $37 39%
+ 2 smaller / regional plans $37
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Kildare Farm Road, Cary, NC 27518
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals