CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Central Valley Medical Center - Cah

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $59–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $90 This hospital $93 Cash price $110 Hospital's list price $110

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $53 Priciest $93

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

A fair price for a Office visit, established patient (20-29 min) is about $90 (about 0.9× the $95 Medicare rate). Central Valley Medical Center - Cah charges insurers about $93, or about $110 in cash — about the fair price. Located in Nephi, UT.

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 $110 116%
Blue Cross Blue Shieldmajor $92 97%
Aetnamajor $71 75%
Cignamajor $110 116%
Humanamajor $58 - $88 61%
SelectHealth $93 - $110 98%
+ 5 smaller / regional plans $98 - $110
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 48 West 1500 North, Nephi, UT 84648
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals