Office visit, established patient (30-39 min)
Facility: Madison Memorial Hospital
Billing Code: 99214 (CPT)
One of the lower prices — 3 of 8 other ID hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 ID 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). Madison Memorial Hospital charges insurers about $81, or about $169 in cash — about the fair price. Located in Rexburg, ID.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $81 | 60% |
| Aetnamajor | $81 | 60% |
| Moda Health | $162 | 119% |
| Molina | $81 | 60% |
| SelectHealth | $82 | 60% |
| + 3 smaller / regional plans | $81 - $137 |
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 Madison Memorial Hospital
Compare: Office visit, established patient (30-39 min) at other ID hospitals
- West Valley Medical Center · Caldwell $79
- Eastern Idaho Regional Medical Center · Idaho Falls $79
- Saint Alphonsus Regional Medical Center · Boise $81
- Mountain View Hospital · Idaho Falls $81
- Northwest Specialty Hospital · Post Falls $81
- Grove Creek Medical Center · Blackfoot $85
- St Luke's Nampa Medical Center · Nampa $99
- Kootenai Health · Coeur D'Alene $113
Insurance negotiated median for the same procedure, sorted lowest first.