Office visit, established patient (30-39 min)
Facility: Mercyone Clinton Medical Center
Billing Code: 99214 (CPT)
Highest price of the 9 IA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $89 (about 0.7× the $136 Medicare rate). Mercyone Clinton Medical Center charges insurers about $79, or about $209 in cash — below the fair price — a good deal. Located in Clinton, 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 | $49 - $168 | 36% |
| Blue Cross Blue Shieldmajor | $49 - $137 | 36% |
| Aetnamajor | $66 - $209 | 49% |
| Cignamajor | $49 - $165 | 36% |
| Humanamajor | $49 - $129 | 36% |
| Kaiser Permanentemajor | $137 | 101% |
| Ambetter (Centene) | $49 - $137 | 36% |
| Clover Health | $79 | 58% |
| GEHA | $168 | 124% |
| Health Net | $49 - $209 | 36% |
| HealthPartners | $49 - $183 | 36% |
| Meridian | $49 - $79 | 36% |
| Molina | $49 | 36% |
| Oscar Health | $148 | 109% |
| Paramount | $49 | 36% |
| Presbyterian | $49 - $79 | 36% |
| Sanford Health Plan | $135 | 100% |
| Tufts Health Plan | $49 | 36% |
| UCare | $143 | 105% |
| WellMed | $79 | 58% |
| WellSense | $49 | 36% |
| + 355 smaller / regional plans | $49 - $209 |
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 Clinton Medical Center
Compare: Office visit, established patient (30-39 min) at other IA hospitals
- Mercyone Newton Medical Center · Newton $49
- Sartori Memorial Hospital, Inc · Cedar Falls $49
- Mercyone Dubuque Medical Center · Dubuque $49
- Mercyone Oelwein Medical Center · Oelwein $49
- Dallas County Hospital · Perry $52
- Compass Memorial Healthcare · Marengo $58
- Mercyone North Iowa Medical Center · Mason City $67
- Mercyone Waterloo Medical Center · Waterloo $67
Insurance negotiated median for the same procedure, sorted lowest first.