CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Wallowa Memorial 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 $48–$205
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
Below the fair price — a good deal
about $24 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $99 This hospital $75 Cash price $193 Hospital's list price $193

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 4 charge more and 4 charge less, among the 9 OR hospitals compared.

Cheapest $48 Priciest $105

Black dot = this hospital, among the 9 OR 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). Wallowa Memorial Hospital charges insurers about $75, or about $193 in cash — below the fair price — a good deal. Located in Enterprise, OR.

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 $90 95%
Blue Cross Blue Shieldmajor $61 64%
Aetnamajor $118 124%
+ 1 smaller / regional plan $97

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 601 Medical Parkway, Enterprise, OR 97828
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals