Office visit, established patient (20-29 min)
Facility: Mercy Hospital Waldron
Billing Code: 99213 (CPT)
Highest price of the 9 AR hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $85 (about 0.9× the $95 Medicare rate). Mercy Hospital Waldron charges insurers about $102, or about $167 in cash — above the fair price. Located in Waldron, AR.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $85. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $71 - $154 | 75% |
| Blue Cross Blue Shieldmajor | $71 - $102 | 75% |
| Aetnamajor | $71 - $167 | 75% |
| Cignamajor | $74 - $218 | 78% |
| Humanamajor | $71 - $218 | 75% |
| Ambetter (Centene) | $100 | 105% |
| HealthLink | $218 - $231 | 229% |
| Independent Health | $71 | 75% |
| + 41 smaller / regional plans | $71 - $562 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Hospital Waldron
Compare: Office visit, established patient (20-29 min) at other AR hospitals
- Delta Memorial Hospital · Dumas $47
- Mercy Hospital Paris · Paris $55
- Mercy Hospital Berryville · Berryville $56
- Mercy Hospital Northwest Arkansas · Rogers $58
- Mercy Hospital Fort Smith · Fort Smith $58
- Ouachita County Medical Center · Camden $60
- Mercy Hospital Ozark · Ozark $62
- Mercy Hospital Booneville · Booneville $62
Insurance negotiated median for the same procedure, sorted lowest first.