CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Grant Regional Health Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$126
about 1.3× the $95 Medicare rate · typically $77–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
Below the fair price — a good deal
about $40 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $126 This hospital $86 Cash price $123 Hospital's list price $189

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $60 Priciest $86

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

A fair price for a Office visit, established patient (20-29 min) is about $126 (about 1.3× the $95 Medicare rate). Grant Regional Health Center charges insurers about $86, or about $123 in cash — below the fair price — a good deal. Located in Lancaster, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $63 - $167 66%
Blue Cross Blue Shieldmajor $104 - $160 109%
Dean Health Plan $72 76%
Quartz $83 - $139 87%
+ 4 smaller / regional plans $15 - $189

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 507 S Monroe St, Lancaster, WI 53813
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals