CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Community Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 0.9× the $95 Medicare rate · typically $61–$159
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $84 This hospital $86 Cash price $102 Hospital's list price $113

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 $86

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 $84 (about 0.9× the $95 Medicare rate). Community Hospital charges insurers about $86, or about $102 in cash — about the fair price. Located in McCook, 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 $98 - $180 103%
Blue Cross Blue Shieldmajor $37 - $179 39%
Aetnamajor $180 189%
+ 3 smaller / regional plans $98
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: P O Box 1328, 1301 East H St, McCook, NE 69001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals