Office visit, established patient (20-29 min)
Facility: Northside Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 GA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $99 (about 1.0× the $95 Medicare rate). Northside Hospital charges insurers about $82, or about $205 in cash — below the fair price — a good deal. Located in Atlanta, GA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $58 - $156 | 61% |
| Blue Cross Blue Shieldmajor | $58 - $178 | 61% |
| Aetnamajor | $58 - $149 | 61% |
| Cignamajor | $60 - $103 | 63% |
| Humanamajor | $58 | 61% |
| Kaiser Permanentemajor | $58 - $111 | 61% |
| Ambetter (Centene) | $82 - $107 | 86% |
| Amerigroup | $82 | 86% |
| CareSource | $58 - $82 | 61% |
| Clover Health | $61 | 64% |
| Health Net | $65 - $104 | 68% |
| Oscar Health | $79 | 83% |
| WellCare | $58 | 61% |
| + 3 smaller / regional plans | $61 - $120 |
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 Northside Hospital
Compare: Office visit, established patient (20-29 min) at other GA hospitals
- Miller County Hospital · Colquitt $29
- Liberty Regional Medical Center · Hinesville $51
- Southern Regional Medical Center · Riverdale $53
- Tanner Medical Center Villa Rica · Villa Rica $59
- Tanner Medical Center - Carrollton · Carrollton $60
- Southeast Georgia Health System- Brunswick Campus · Brunswick $62
- Southeast Georgia Health System -- Camden Campus · Saint Marys $62
- Sgmc Health · Valdosta $63
Insurance negotiated median for the same procedure, sorted lowest first.