CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Seiling Municipal Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 1.0× the $95 Medicare rate · typically $51–$207
modeled estimate · not a bill or quote
What this hospital charges insurers
$179
Well above the fair price
about $80 over the fair price · 1.9× Medicare
Medicare pays $95 Fair price $99 This hospital $179 Cash price $117 Hospital's list price $178

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $44 Priciest $179

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $99 (about 1.0× the $95 Medicare rate). Seiling Municipal Hospital charges insurers about $179, or about $117 in cash — well above the fair price. Located in Seiling, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $99. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $39 - $353 41%
Blue Cross Blue Shieldmajor $57 - $353 60%
Aetnamajor $47 - $353 49%
Cignamajor $96 - $263 101%
Humanamajor $55 - $353 58%
Ambetter (Centene) $67 - $424 70%
WellCare $90 - $353 95%
+ 3 smaller / regional plans $57 - $353
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 809 Ne Highway 60, Seiling, OK 73663
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals