Office visit, established patient (30-39 min)
Facility: Nemours Children's Hospital, Delaware
Billing Code: 99214 (CPT)
A typical price — 3 charge more and 4 charge less, among the 8 DE hospitals compared.
Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $144 (about 1.1× the $136 Medicare rate). Nemours Children's Hospital, Delaware charges insurers about $144, or about $144 in cash — about the fair price. Located in Wilmington, DE.
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 | $53 - $90 | 39% |
| Blue Cross Blue Shieldmajor | $53 - $319 | 39% |
| Aetnamajor | $61 - $84 | 45% |
| Cignamajor | $79 - $91 | 58% |
| Ambetter (Centene) | $82 | 60% |
| AmeriHealth | $82 | 60% |
| Fidelis Care | $58 | 43% |
| Geisinger | $86 | 63% |
| HealthPartners | $56 | 41% |
| UPMC Health Plan | $57 | 42% |
| + 14 smaller / regional plans | $29 - $144 |
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 Nemours Children's Hospital, Delaware
Compare: Office visit, established patient (30-39 min) at other DE hospitals
- St Francis Hospital · Wilmington $92
- Tidalhealth Nanticoke, Inc. · Seaford $108
- PAM Rehabilitation Hospital of Dover · Dover $123
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $123
- Bayhealth Medical Center, Kent Campus · Dover $159
- Beebe Medical Center · Lewes $159
- Bayhealth Hospital, Sussex Campus · Milford $159
Insurance negotiated median for the same procedure, sorted lowest first.