CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Newport Community Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 0.8× the $95 Medicare rate · typically $49–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $10 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $76 This hospital $66 Cash price $214 Hospital's list price $214

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WA hospitals compared.

Cheapest $48 Priciest $69

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $76 (about 0.8× the $95 Medicare rate). Newport Community Hospital charges insurers about $66, or about $214 in cash — below the fair price — a good deal. Located in Newport, WA.

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✓ Aetna✓ Cigna HumanaKaiser 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 $25 - $66 26%
Blue Cross Blue Shieldmajor $66 69%
Aetnamajor $74 78%
Cignamajor $60 63%
Molina $66 - $75 69%
PacificSource $66 69%
WellCare $66 69%
+ 2 smaller / regional plans $48 - $66
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 714 West Pine Street, Newport, WA 99156
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals