Office visit, established patient (30-39 min)
Facility: Gundersen Palmer Lutheran Hospital and Clinics
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 $147 (about 1.1× the $136 Medicare rate). Gundersen Palmer Lutheran Hospital and Clinics charges insurers about $213, or about $120 in cash — above the fair price. Located in West Union, IA.
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 $147. 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.
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 | $106 - $111 | 78% |
| Blue Cross Blue Shieldmajor | $109 - $213 | 80% |
| Aetnamajor | $202 | 149% |
| Humanamajor | $111 | 82% |
| Amerigroup | $111 - $213 | 82% |
| HealthPartners | $106 - $188 | 78% |
| Molina | $213 | 157% |
| Quartz | $116 | 86% |
| UCare | $111 - $170 | 82% |
| + 6 smaller / regional plans | $111 - $207 |
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 Gundersen Palmer Lutheran Hospital and Clinics
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.