CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Minnie Hamilton Health System

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 0.7× the $95 Medicare rate · typically $47–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
About the fair price
about $4 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $68 This hospital $72 Cash price $204 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $47 Priciest $72

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

A fair price for a Office visit, established patient (20-29 min) is about $68 (about 0.7× the $95 Medicare rate). Minnie Hamilton Health System charges insurers about $72, or about $204 in cash — about the fair price. Located in Grantsville, WV.

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✓ Humana CignaKaiser 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 $72 - $80 76%
Blue Cross Blue Shieldmajor $20 - $81 21%
Aetnamajor $20 - $76 21%
Humanamajor $61 - $97 64%
CareSource $85 - $90 89%
UniCare $20 21%
Government programs also on file: Medicare, Medicaid.
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: 186 Hospital Drive, Grantsville, WV 26147
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals