CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: The Nebraska Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$120
about 1.3× the $95 Medicare rate · typically $62–$159
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $8 over the fair price · 1.3× Medicare
Medicare pays $95 Fair price $120 This hospital $128 Cash price $127 Hospital's list price $195

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $50 Priciest $128

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

A fair price for a Office visit, established patient (20-29 min) is about $120 (about 1.3× the $95 Medicare rate). The Nebraska Medical Center charges insurers about $128, or about $127 in cash — about the fair price. Located in Omaha, NE.

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $184 - $934 193%
Blue Cross Blue Shieldmajor $68 - $128 71%
Aetnamajor $58 - $109 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: 988102 Nebrasks Medical Center, Omaha, NE 68198
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals