Office visit, established patient (30-39 min)
Facility: Medstar Georgetown University Hospital
Billing Code: 99214 (CPT)
A fair price for a Office visit, established patient (30-39 min) is about $196 (about 1.4× the $136 Medicare rate). Medstar Georgetown University Hospital charges insurers about $343, or about $225 in cash — above the fair price. Located in Washington, DC.
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 $196. 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 | $97 - $121 | 72% |
| Blue Cross Blue Shieldmajor | $98 - $291 | 72% |
| Aetnamajor | $128 | 94% |
| Amerigroup | $395 | 291% |
| AmeriHealth | $395 | 291% |
| + 1 smaller / regional plan | $201 - $395 |
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.