Office visit, established patient (30-39 min)
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 99214 (CPT)
Highest price of the 9 IN hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $98 (about 0.7× the $136 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $118, or about $241 in cash — above the fair price. Located in Plymouth, IN.
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 $98. 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.
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 | $79 - $158 | 58% |
| Blue Cross Blue Shieldmajor | $79 - $142 | 58% |
| Aetnamajor | $79 - $168 | 58% |
| Cignamajor | $79 - $189 | 58% |
| Humanamajor | $79 - $126 | 58% |
| Kaiser Permanentemajor | $123 - $142 | 91% |
| Ambetter (Centene) | $89 - $118 | 66% |
| CareSource | $105 - $167 | 77% |
| Clover Health | $79 - $126 | 58% |
| GEHA | $117 - $158 | 86% |
| Health Net | $81 - $189 | 60% |
| HealthPartners | $89 - $118 | 66% |
| Meridian | $79 - $126 | 58% |
| Molina | $89 - $118 | 66% |
| Paramount | $89 - $118 | 66% |
| Presbyterian | $79 - $126 | 58% |
| Tufts Health Plan | $89 - $118 | 66% |
| WellMed | $79 - $126 | 58% |
| WellSense | $89 - $118 | 66% |
| + 347 smaller / regional plans | $79 - $274 |
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 Saint Joseph Regional Medical Center - Plymouth
Compare: Office visit, established patient (30-39 min) at other IN hospitals
- Dukes Memorial Hospital · Peru $47
- Bluffton Regional Medical Center · Bluffton $49
- Hamilton Center Inc · Terre Haute $73
- Porter-Starke Services Inc · Valparaiso $76
- Northwest Health-La Porte · La Porte $77
- Woodlawn Hospital · Rochester $89
- Powers Health Rehabilitation Center · Crown Point $91
- Lutheran Hospital of Indiana · Fort Wayne $92
Insurance negotiated median for the same procedure, sorted lowest first.