CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Cannon Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.9× the $118 Medicare rate · typically $74–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $10 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $103 This hospital $93 Cash price $105 Hospital's list price $210

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 6 of 8 other SC hospitals charge more for the same procedure.

Cheapest $79 Priciest $118

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

A fair price for a New patient office visit (30-44 min) is about $103 (about 0.9× the $118 Medicare rate). Cannon Memorial Hospital charges insurers about $93, or about $105 in cash — about the fair price. Located in Pickens, SC.

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 $75 - $275 64%
Blue Cross Blue Shieldmajor $72 - $261 61%
Aetnamajor $75 - $198 64%
Cignamajor $77 - $275 65%
Humanamajor $63 - $250 54%
Ambetter (Centene) $107 91%
Bright Health $81 - $95 69%
Devoted Health $75 - $76 64%
GEHA $110 - $147 94%
Molina $77 - $109 65%
SelectHealth $63 - $237 54%
+ 34 smaller / regional plans $50 - $275
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 W G Acker Drive, Pickens, SC 29671
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals