CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Hill Country Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$144
about 1.5× the $95 Medicare rate · typically $69–$180
modeled estimate · not a bill or quote
What this hospital charges insurers
$140
About the fair price
about $4 under the fair price · 1.5× Medicare
Medicare pays $95 Fair price $144 This hospital $140 Cash price $777 Hospital's list price $777

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 $140

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 $144 (about 1.5× the $95 Medicare rate). Hill Country Memorial Hospital charges insurers about $140, or about $777 in cash — about the fair price. Located in Fredericksburg, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $191 - $350 201%
Blue Cross Blue Shieldmajor $129 - $229 136%
Healthcare Highways $239 251%
+ 2 smaller / regional plans $288 - $311
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals