Office visit, established patient (20-29 min)
Facility: Kootenai Health
Billing Code: 99213 (CPT)
Highest price of the 9 ID hospitals we have prices for — worth calling around.
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 (20-29 min) is about $76 (about 0.8× the $95 Medicare rate). Kootenai Health charges insurers about $80, or about $197 in cash — about the fair price. Located in Coeur D'Alene, ID.
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 | $47 - $237 | 49% |
| Blue Cross Blue Shieldmajor | $55 - $237 | 58% |
| Aetnamajor | $58 - $218 | 61% |
| Cignamajor | $215 - $219 | 226% |
| Humanamajor | $55 - $90 | 58% |
| Kaiser Permanentemajor | $66 - $323 | 69% |
| Molina | $39 - $97 | 41% |
| PacificSource | $56 - $215 | 59% |
| + 5 smaller / regional plans | $39 - $228 |
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 Kootenai Health
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
- West Valley Medical Center · Caldwell $56
- Eastern Idaho Regional Medical Center · Idaho Falls $56
- Grove Creek Medical Center · Blackfoot $72
- Saint Alphonsus Regional Medical Center · Boise $75
- Benewah Community Hospital · Saint Maries $80
Insurance negotiated median for the same procedure, sorted lowest first.