CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Golden Plains Community Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$115
about 1.2× the $95 Medicare rate · typically $74–$155
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $115 Cash price $126 Hospital's list price $181
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 | $248 | 261% |
| Blue Cross Blue Shieldmajor | $70 - $203 | 74% |
| Aetnamajor | $27 - $248 | 28% |
| Cignamajor | $21 - $55 | 22% |
| Humanamajor | $248 | 261% |
| WellMed | $27 - $248 | 28% |
Self-Pay How to get the cash price
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Other Procedures at Golden Plains Community Hospital
Compare: Office visit, established patient (20-29 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $34
- Ochiltree General Hospital · Perryton $43
- PAM Specialty Hospital of Texarkana North · Texarkana $47
- Riceland Medical Center · Winnie $48
- Cook Childrens Medical Center · Fort Worth $51
- Cook Childrens Medical Center Prosper · Prosper $51
- Peterson Regional Medical Center · Kerrville $52
- North Texas Medical Center · Gainesville $52
Insurance negotiated median for the same procedure, sorted lowest first.