Office visit, established patient (20-29 min)
Facility: Valley Children's Hospital
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 $75 (about 0.8× the $95 Medicare rate). Valley Children's Hospital charges insurers about $45 — below the fair price — a good deal. Located in Madera, CA.
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 | $47 | 49% |
| Blue Cross Blue Shieldmajor | $54 | 57% |
| Kaiser Permanentemajor | $30 | 32% |
| + 11 smaller / regional plans | $30 - $60 |
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 Valley Children's Hospital
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.