CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: University Medical Center
Billing Code: 99213 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99213
- Insurance Median: $124
- Cash Discount Price: $146
- vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at University Medical Center is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 1.30x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$146
Average discount available for prompt cash payment at this facility.
Insurance Median
$124
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$95.19
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $95.19 (100%)
Cash / Self-Pay: $146 (153%)
Insurance Median: $124 (130%)
Cash: $146 (153% of Medicare)
Ins. Median: $124 (130% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aig | $26 - $260 | 27% |
| Beech Street | $26 - $260 | 27% |
| Cement Masons & Plasters H&W | $26 - $218 | 27% |
| Ambetter / Centene | $47 - $286 | 49% |
| Blue Cross Blue Shield | $47 - $130 | 49% |
| Molina | $47 - $286 | 49% |
| Sierra Health And Life | $47 - $312 | 49% |
| Advantra Freedom | $57 - $130 | 60% |
| Aetna | $57 - $234 | 60% |
| Allwell | $63 - $88 | 66% |
| Arroweye Solutions | $63 - $270 | 66% |
| Caesar'S Entertainment | $63 - $218 | 66% |
| City Of Henderson | $63 - $218 | 66% |
| City Of North Las Vegas | $63 - $218 | 66% |
| Clark County Epo | $63 - $218 | 66% |
| Clark County Self Funded | $63 - $218 | 66% |
| Dignity Health | $63 - $270 | 66% |
| Golden Entertainment | $63 - $270 | 66% |
| Golden Nugget Hotel & Casino | $63 - $270 | 66% |
| Healthcare Partners Of Nevada | $63 - $109 | 66% |
| Las Vegas Metro Police Dept | $63 - $218 | 66% |
| Las Vegas Sand Corps | $63 - $151 | 66% |
| Marshall Retail Group | $63 - $270 | 66% |
| Mgm Grand | $63 - $218 | 66% |
| Mirage Las Vegas | $63 - $218 | 66% |
| Operating Engineers | $63 - $218 | 66% |
| P3 Health Partners | $63 - $270 | 66% |
| P3 Health Partners Nevada | $63 - $150 | 66% |
| Pli Las Vegas | $63 - $270 | 66% |
| Rebel Oil Company | $63 - $270 | 66% |
| Resorts World Las Vegas | $63 - $218 | 66% |
| Selecthealth | $63 - $286 | 66% |
| State Of Nevada | $63 - $270 | 66% |
| Stations Casinos | $63 - $270 | 66% |
| Teacher'S Health Trust | $63 - $270 | 66% |
| Truline Corporation | $63 - $270 | 66% |
| UnitedHealthcare | $63 - $271 | 66% |
| Va Pc3 (Va Choice) | $63 - $468 | 66% |
| Venetian/Palazzo | $63 - $270 | 66% |
| Wynn Resorts | $63 - $218 | 66% |
| Alignment Health | $66 - $156 | 69% |
| Scan | $66 - $156 | 69% |
| Clark County Firefighters 1908 | $70 - $218 | 74% |
| Coventry | $70 - $208 | 74% |
| Employee Painters Trust | $70 - $218 | 74% |
| Geha | $70 - $133 | 74% |
| Mail Handlers Benefit Plan | $70 - $208 | 74% |
| Nevada Energy | $70 - $208 | 74% |
| First Health | $71 - $255 | 75% |
| Health Net | $71 - $442 | 75% |
| Three Rivers Provider Network | $71 - $255 | 75% |
| Boyd Group | $75 - $218 | 79% |
| Bricklayers Local 13 | $75 - $218 | 79% |
| California Ironwork Field Welfare | $75 - $130 | 79% |
| Electrical Workers | $75 - $218 | 79% |
| Laborers Health And Welfare | $75 - $218 | 79% |
| Plumbers & Pipefitters Loc 525 | $75 - $218 | 79% |
| Sheet Metal Workers | $75 - $130 | 79% |
| So Ca Pipe Trades H&W | $75 - $130 | 79% |
| Southwest Carpenters H&W | $75 - $130 | 79% |
| Teamsters Local 14 | $75 - $218 | 79% |
| Teamsters Local 631 | $75 - $218 | 79% |
| Teamsters Local 986 | $75 - $218 | 79% |
| Ufcw Local 711 Retail Clerks | $75 - $218 | 79% |
| Culinary Workers Hwf | $78 - $218 | 82% |
| Laughlin Coalition | $89 - $203 | 93% |
| Hometown Health Plan Nevada | $95 - $133 | 100% |
| Jw Marriott | $95 - $312 | 100% |
| Nevada Preferred Professionals | $95 - $312 | 100% |
| One Health Plan | $95 - $166 | 100% |
| Prominence Health Plan | $95 - $312 | 100% |
| Universal Health Network (Uhn) | $95 - $312 | 100% |
| Health Direct Partners | $104 - $286 | 109% |
| Cigna | $124 - $192 | 130% |
| Cirque De Soleil | $124 - $192 | 130% |
| Great West Healthcare | $124 - $192 | 130% |
| Kaiser | $124 - $192 | 130% |
| National Security Technologies | $124 - $192 | 130% |
| Zuffa | $136 - $312 | 143% |
| American Postal Workers Health Plan | $144 - $271 | 151% |
| Surest | $144 - $271 | 151% |
| Clark County Detention Center | $148 - $156 | 155% |
| Hometown Health Plan Of Nevada | $158 - $166 | 166% |
| Las Vegas Firefighters 1285 | $208 - $271 | 219% |
| Nevada Hand | $208 - $218 | 219% |
| Switch | $208 - $271 | 219% |