CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Lower Umpqua Hospital District

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 1.0× the $95 Medicare rate · typically $46–$242
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $94 This hospital $98 Cash price $101 Hospital's list price $187

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 7 of 8 other OR hospitals charge less.

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 $94 (about 1.0× the $95 Medicare rate). Lower Umpqua Hospital District charges insurers about $98, or about $101 in cash — about the fair price. Located in Reedsport, 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✓ Cigna AetnaHumanaKaiser 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 $110 - $139 116%
Blue Cross Blue Shieldmajor $86 - $148 90%
Cignamajor $101 106%
Health Net $40 - $165 42%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 600 Ranch Road, Reedsport, OR 97467
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals