CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Fillmore County Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.8× the $95 Medicare rate · typically $56–$143
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
Below the fair price — a good deal
about $12 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $72 This hospital $60 Cash price $133 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $50 Priciest $77

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 $72 (about 0.8× the $95 Medicare rate). Fillmore County Hospital charges insurers about $60, or about $133 in cash — below the fair price — a good deal. Located in Geneva, 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 $37 - $165 39%
Blue Cross Blue Shieldmajor $60 - $245 63%
Aetnamajor $60 - $167 63%
Ambetter (Centene) $37 - $71 39%
Medica $60 - $167 63%
Molina $37 - $71 39%
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: P O Box 193, 1900 F Street, Geneva, NE 68361
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals