Office visit, established patient (20-29 min)
Facility: Mercy Medical Center
Billing Code: 99213 (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 (20-29 min) is about $127 (about 1.3× the $95 Medicare rate). Mercy Medical Center charges insurers about $140, or about $94 in cash — about the fair price. Located in Merced, CA.
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
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 | $166 - $324 | 174% |
| Blue Cross Blue Shieldmajor | $40 - $191 | 42% |
| Cignamajor | $109 - $211 | 115% |
| Kaiser Permanentemajor | $43 - $224 | 45% |
| Health Net | $92 | 97% |
| Molina | $43 | 45% |
| + 6 smaller / regional plans | $43 |
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 Medical Center
Compare: Office visit, established patient (20-29 min) at other CA hospitals
- Children's Hosp of Los Angeles · Los Angeles $18
- Tri-City Medical Center · Oceanside $24
- Mountains Community Hospital · Lake Arrowhead $24
- Riverside Community Hospital · Riverside $29
- Good Samaritan Hospital · San Jose $29
- Los Robles Hospital & Medical Center · Thousand Oaks $30
- Plumas District Hospital · Quincy $30
- Paradise Valley Hospital · National City $34
Insurance negotiated median for the same procedure, sorted lowest first.