CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Johnson County Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$126
about 1.3× the $95 Medicare rate · typically $61–$231
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $126 Cash price $131 Hospital's list price $131
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 | $104 - $150 | 109% |
| Blue Cross Blue Shieldmajor | $102 - $147 | 107% |
| Aetnamajor | $72 - $155 | 76% |
| Ambetter (Centene) | $96 - $140 | 101% |
| Molina | $72 - $104 | 76% |
| WellCare | $72 - $104 | 76% |
| + 1 smaller / regional plan | $86 - $124 |
Government programs also on file: Military & VA.
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Other Procedures at Johnson County Hospital
Compare: Office visit, established patient (20-29 min) at other NE hospitals
- York General Health Care Services · York $50
- Faith Regional Health Services · Norfolk $56
- Valley County Health System · Ord $57
- Fillmore County Hospital · Geneva $60
- Osmond General Hospital · Osmond $67
- St Francis Memorial Hospital · West Point $72
- Howard County Medical Center · St Paul $72
- West Holt Memorial Hospital · Atkinson $73
Insurance negotiated median for the same procedure, sorted lowest first.