Office visit, established patient (30-39 min)
Facility: Mercy 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 $165 (about 1.2× the $136 Medicare rate). Mercy Medical Center charges insurers about $192, or about $155 in cash — above the fair price. Located in Merced, 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 $165. 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.
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 | $190 - $13,394 | 140% |
| Blue Cross Blue Shieldmajor | $62 - $211 | 46% |
| Cignamajor | $125 - $1,653 | 92% |
| Kaiser Permanentemajor | $67 - $1,755 | 49% |
| Health Net | $144 | 106% |
| Molina | $67 | 49% |
| + 6 smaller / regional plans | $67 |
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 (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.