CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Palacios Community Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$137
about 1.4× the $95 Medicare rate · typically $76–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
Below the fair price — a good deal
about $49 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $137 This hospital $88 Cash price $88 Hospital's list price $88

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 $88

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

A fair price for a Office visit, established patient (20-29 min) is about $137 (about 1.4× the $95 Medicare rate). Palacios Community Medical Center charges insurers about $88, or about $88 in cash — below the fair price — a good deal. Located in Palacios, 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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $80 - $88 84%
Aetnamajor $47 - $62 49%
Molina $47 - $80 49%
+ 1 smaller / regional plan $80

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 311 Green Avenue, Palacios, TX 77465
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals