CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Throckmorton County Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$100
about 1.1× the $95 Medicare rate · typically $46–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Below the fair price — a good deal
about $46 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $100 This hospital $54 Cash price $90 Hospital's list price $90

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 $54

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 $100 (about 1.1× the $95 Medicare rate). Throckmorton County Memorial Hospital charges insurers about $54, or about $90 in cash — below the fair price — a good deal. Located in Throckmorton, 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✓ Cigna✓ Humana AetnaKaiser 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 $54 57%
Blue Cross Blue Shieldmajor $61 - $88 64%
Cignamajor $63 66%
Humanamajor $63 66%
Amerigroup $88 92%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 802 N Minter Avenue, Throckmorton, TX 76483
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals