Office visit, established patient (30-39 min)
Facility: AHMC Seton Medical Center
Billing Code: 99214 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $178 (about 1.3× the $136 Medicare rate). AHMC Seton Medical Center charges insurers about $307, or about $429 in cash — above the fair price. Located in Daly City, CA.
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 $178. 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.
3 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 | $213 - $385 | 157% |
| Blue Cross Blue Shieldmajor | $45 - $511 | 33% |
| Kaiser Permanentemajor | $43 - $551 | 32% |
| Health Net | $349 - $516 | 257% |
| + 20 smaller / regional plans | $42 - $672 |
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 AHMC Seton Medical Center
Compare: Office visit, established patient (30-39 min) at other CA hospitals
- Tri-City Medical Center · Oceanside $38
- Mountains Community Hospital · Lake Arrowhead $38
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $43
- Plumas District Hospital · Quincy $46
- Paradise Valley Hospital · National City $54
- Saint Francis Medical Center · Lynwood $54
- Encino Hospital Medical Center · Encino $54
- La Palma Intercommunity Hospital · La Palma $54
Insurance negotiated median for the same procedure, sorted lowest first.