CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Mimbres Valley Medical Center
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$83
about 0.9× the $95 Medicare rate · typically $61–$153
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $83 Cash price $215 Hospital's list price $430
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $307 - $716 | 323% |
| Blue Cross Blue Shieldmajor | $80 - $918 | 84% |
| Aetnamajor | $355 - $826 | 373% |
| Cignamajor | $330 - $768 | 347% |
| Humanamajor | $315 - $734 | 331% |
| Presbyterian | $355 - $826 | 373% |
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mimbres Valley Medical Center
Compare: Office visit, established patient (20-29 min) at other NM hospitals
Insurance negotiated median for the same procedure, sorted lowest first.