CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mesa View Regional Hospital

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $732
Cash Discount Price: $761
vs. Medicare Baseline: 7.69x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Mesa View Regional Hospital is $732. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $761. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 7.69x the Medicare baseline. Located in 1299 Bertha Howe Avenue, Mesquite, NV.

Cash / Self-Pay

$761

Average discount available for prompt cash payment at this facility.

Insurance Median

$732

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: $761 (799%)

Insurance Median: $732 (769%)

Cash: $761 (799% of Medicare)

Ins. Median: $732 (769% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 769% of the Medicare baseline (a markup of 669%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$191 - $1,580	201%
Selecthealth Mcare-All Plans	$402 - $664	422%
Sierra-All Plans	$555 - $917	583%
UnitedHealthcare	$555 - $1,580	583%
Multiplan Primary Network-All Other Plans	$574 - $948	603%
Cigna	$622 - $1,027	653%
Multiplan Complementary Network	$669 - $1,106	703%
Aetna	$784 - $1,296	824%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $761.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99213.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mesa View Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99213.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.