Office visit, established patient (20-29 min)
Facility: Mercyone Newton Medical Center
Billing Code: 99213 (CPT)
Lowest price of the 9 IA hospitals we have prices for — a strong deal.
Black dot = this hospital, among the 9 IA 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 (20-29 min) is about $52 (about 0.5× the $95 Medicare rate). Mercyone Newton Medical Center charges insurers about $31, or about $140 in cash — below the fair price — a good deal. Located in Newton, IA.
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 | $17 - $109 | 18% |
| Blue Cross Blue Shieldmajor | $15 - $93 | 16% |
| Aetnamajor | $19 - $141 | 20% |
| Cignamajor | $22 - $112 | 23% |
| Humanamajor | $10 - $88 | 11% |
| Kaiser Permanentemajor | $15 - $93 | 16% |
| Ambetter (Centene) | $15 - $93 | 16% |
| Clover Health | $46 - $54 | 48% |
| GEHA | $17 - $109 | 18% |
| Health Net | $19 - $141 | 20% |
| HealthPartners | $14 - $135 | 15% |
| Meridian | $26 - $54 | 27% |
| Molina | $26 - $31 | 27% |
| Oscar Health | $16 - $101 | 17% |
| Paramount | $26 - $31 | 27% |
| Presbyterian | $26 - $54 | 27% |
| Sanford Health Plan | $15 - $92 | 16% |
| Tufts Health Plan | $26 - $31 | 27% |
| UCare | $16 - $97 | 17% |
| WellMed | $46 - $54 | 48% |
| WellSense | $26 - $31 | 27% |
| + 355 smaller / regional plans | $10 - $141 |
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 Mercyone Newton Medical Center
Compare: Office visit, established patient (20-29 min) at other IA hospitals
- Sartori Memorial Hospital, Inc · Cedar Falls $31
- Mercyone Dubuque Medical Center · Dubuque $31
- Mercyone Oelwein Medical Center · Oelwein $31
- Dallas County Hospital · Perry $36
- Mercyone North Iowa Medical Center · Mason City $46
- Mercyone Waterloo Medical Center · Waterloo $46
- Mercy Medical Center-New Hampton · New Hampton $46
- Mercyone Centerville Medical Center · Centerville $46
Insurance negotiated median for the same procedure, sorted lowest first.