Office visit, established patient (20-29 min)
Facility: Washington County Hospital and Clinics
Billing Code: 99213 (CPT)
- CPT Billing Code: 99213
- Insurance Median: $75
- Cash Discount Price: $136
- vs. Medicare Baseline: 0.79x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $59 - $176 | 62% |
| Healthpartners Mcr Adv | $59 - $74 | 62% |
| Med Assoc Mcr Adv | $60 - $72 | 63% |
| Blue Cross Blue Shield | $61 - $93 | 64% |
| Health Alliance Mcr Adv | $62 - $72 | 65% |
| Humana | $62 - $74 | 65% |
| Ia Total Care Wellcare Mcr Adv | $62 - $75 | 65% |
| Wellpoint Mcr Adv Amerigrp - All Other Plans | $62 - $75 | 65% |
| Molina Mcr Adv - All Other Plans | $75 | 79% |
| Ia Total Care Mcaid | $76 - $181 | 80% |
| Medicaid / KanCare | $76 - $181 | 80% |
| Wellpoint Mcaid Amerigrp | $76 - $181 | 80% |
| Med Assoc Hlth Choices Profee Only - All Otherplan | $88 | 92% |
| Midlands Choice - All Plans | $96 - $154 | 101% |
| Health Alliance Comm - All Other Plans | $102 - $172 | 107% |
| Healthpartners - All Other Plans | $104 - $154 | 109% |
| Ambetter / Centene | $106 | 111% |