CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Lee County Community Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$120
about 1.0× the $118 Medicare rate · typically $84–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $118 Fair price $120 This hospital $115 Cash price $39 Hospital's list price $168

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $86 Priciest $115

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

A fair price for a New patient office visit (30-44 min) is about $120 (about 1.0× the $118 Medicare rate). Lee County Community Hospital charges insurers about $115, or about $39 in cash — about the fair price. Located in Pennington Gap, VA.

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 $37 - $86 31%
Blue Cross Blue Shieldmajor $38 - $168 32%
Aetnamajor $37 - $168 31%
Cignamajor $39 - $168 33%
Humanamajor $38 32%
Ambetter (Centene) $37 31%
Amerigroup $37 - $168 31%
Devoted Health $39 33%
Molina $38 32%
Sentara $37 - $43 31%
+ 4 smaller / regional plans $37 - $89
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals