Office visit, established patient (30-39 min)
Facility: Shriners Hospitals for Children Northern Calif
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.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Office visit, established patient (30-39 min) is about $114 (about 0.8× the $136 Medicare rate). Shriners Hospitals for Children Northern Calif charges insurers about $83, or about $305 in cash — below the fair price — a good deal. Located in Sacramento, 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $3,501 - $3,783 | 2582% |
| Aetnamajor | $43 - $85 | 32% |
| Kaiser Permanentemajor | $43 | 32% |
| Ambetter (Centene) | $22 - $1,538 | 16% |
| Amerigroup | $65 - $1,384 | 48% |
| AmeriHealth | $96 | 71% |
| CareSource | $46 - $96 | 34% |
| Health Net | $98 | 72% |
| Molina | $43 - $83 | 32% |
| WellCare | $46 | 34% |
| + 8 smaller / regional plans | $43 - $2,428 |
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 Shriners Hospitals for Children Northern Calif
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.