Office visit, established patient (20-29 min)
Facility: West Valley Medical Center
Billing Code: 99213 (CPT)
A typical price — 4 charge more and 3 charge less, among the 9 ID hospitals compared.
Black dot = this hospital, among the 9 ID 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 $73 (about 0.8× the $95 Medicare rate). West Valley Medical Center charges insurers about $56, or about $374 in cash — below the fair price — a good deal. Located in Caldwell, ID.
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 | $126 - $321 | 132% |
| Blue Cross Blue Shieldmajor | $50 - $511 | 53% |
| Aetnamajor | $167 - $425 | 175% |
| Humanamajor | $177 - $452 | 186% |
| HealthPartners | $137 - $350 | 144% |
| Moda Health | $132 - $335 | 139% |
| Molina | $56 | 59% |
| PacificSource | $126 - $321 | 132% |
| SelectHealth | $67 - $172 | 70% |
| + 4 smaller / regional plans | $78 - $484 |
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 West Valley Medical Center
Compare: Office visit, established patient (20-29 min) at other ID hospitals
- Madison Memorial Hospital · Rexburg $55
- Mountain View Hospital · Idaho Falls $55
- Northwest Specialty Hospital · Post Falls $55
- Eastern Idaho Regional Medical Center · Idaho Falls $56
- Grove Creek Medical Center · Blackfoot $72
- Saint Alphonsus Regional Medical Center · Boise $75
- Kootenai Health · Coeur D'Alene $80
- Benewah Community Hospital · Saint Maries $80
Insurance negotiated median for the same procedure, sorted lowest first.