Office visit, established patient (20-29 min)
Facility: Penobscot Valley Hospital
Billing Code: 99213 (CPT)
A typical price — 5 charge more and 3 charge less, among the 9 ME hospitals compared.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $118 (about 1.2× the $95 Medicare rate). Penobscot Valley Hospital charges insurers about $96, or about $142 in cash — below the fair price — a good deal. Located in Lincoln, ME.
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 | $13 - $204 | 14% |
| Blue Cross Blue Shieldmajor | $14 - $322 | 15% |
| Aetnamajor | $14 - $417 | 15% |
| Cignamajor | $27 - $408 | 28% |
| Humanamajor | $14 - $102 | 15% |
| Harvard Pilgrim | $28 - $415 | 29% |
| WellCare | $14 - $95 | 15% |
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 Penobscot Valley Hospital
Compare: Office visit, established patient (20-29 min) at other ME hospitals
- Millinocket Regional Hospital · Millinocket $63
- York Hospital · York $78
- Northern Maine Medical Center · Fort Kent $93
- Lincolnhealth · Damariscotta $103
- Mainehealth Stephens Hospital · Norway $103
- Houlton Regional Hospital · Houlton $105
- Mainehealth Franklin Hospital · Farmington $116
- Mainehealth Maine Medical Center · Portland $125
Insurance negotiated median for the same procedure, sorted lowest first.