CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Memorial Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 1.0× the $95 Medicare rate · typically $64–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $10 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $94 This hospital $104 Cash price $87 Hospital's list price $125

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 $104

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 $94 (about 1.0× the $95 Medicare rate). Memorial Medical Center charges insurers about $104, or about $87 in cash — about the fair price. Located in Port Lavaca, TX.

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 $41 - $457 43%
Blue Cross Blue Shieldmajor $60 - $167 63%
Aetnamajor $41 - $457 43%
Cignamajor $64 - $428 67%
Humanamajor $64 - $457 67%
Ambetter (Centene) $26 - $259 27%
Amerigroup $38 - $274 40%
Health Net $64 - $457 67%
Healthcare Highways $52 - $457 55%
Molina $38 - $274 40%
+ 13 smaller / regional plans $38 - $485
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals