CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St David's Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$184
about 1.9× the $95 Medicare rate · typically $69–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
About the fair price
about $13 over the fair price · 2.1× Medicare
Medicare pays $95 Fair price $184 This hospital $197 Cash price $1,796 Hospital's list price $1,796

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $34 Priciest $197

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $184 (about 1.9× the $95 Medicare rate). St David's Medical Center charges insurers about $197, or about $1,796 in cash — about the fair price. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $24 - $942 25%
Blue Cross Blue Shieldmajor $30 - $668 32%
Aetnamajor $34 - $1,156 36%
Cignamajor $577 - $859 606%
Amerigroup $29 30%
Health Net $62 - $1,361 65%
Healthcare Highways $28 - $628 29%
Moda Health $22 - $775 23%
Oscar Health $345 - $448 362%
+ 23 smaller / regional plans $18 - $1,885
Government programs also on file: Medicaid.
Excludes 7 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: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals