Office visit, established patient (30-39 min)
Facility: Saint Joseph Hospital
Billing Code: 99214 (CPT)
Highest price of the 9 KY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $193 (about 1.4× the $136 Medicare rate). Saint Joseph Hospital charges insurers about $350, or about $266 in cash — well above the fair price. Located in Lexington, KY.
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 $193. 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.
5 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 | $156 - $412 | 115% |
| Blue Cross Blue Shieldmajor | $160 - $299 | 118% |
| Aetnamajor | $153 - $356 | 113% |
| Cignamajor | $356 | 263% |
| Humanamajor | $150 | 111% |
| Molina | $133 | 98% |
| WellCare | $157 | 116% |
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 Hospital
Compare: Office visit, established patient (30-39 min) at other KY hospitals
- Monroe County Medical Center · Tompkinsville $66
- Carroll County Memorial Hospital · Carrollton $79
- T J Samson Community Hospital · Glasgow $82
- Harrison Memorial Hospital · Cynthiana $82
- Breckinridge Memorial Hospital · Hardinsburg $82
- Whitesburg Arh Hospital · Whitesburg $83
- Highlands Arh Regional Medical Center · Prestonsburg $83
- Middlesboro Arh Hospital · Middlesboro $83
Insurance negotiated median for the same procedure, sorted lowest first.