Office visit, established patient (20-29 min)
Facility: Mainehealth Franklin Hospital
Billing Code: 99213 (CPT)
On the higher side — 7 of 8 other ME hospitals charge less.
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 $101 (about 1.1× the $95 Medicare rate). Mainehealth Franklin Hospital charges insurers about $116, or about $303 in cash — about the fair price. Located in Farmington, ME.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $74 - $270 | 78% |
| Blue Cross Blue Shieldmajor | $74 - $559 | 78% |
| Aetnamajor | $64 - $231 | 67% |
| Cignamajor | $163 - $254 | 171% |
| Harvard Pilgrim | $116 - $255 | 122% |
| WellCare | $74 - $94 | 78% |
| + 1 smaller / regional plan | $134 - $264 |
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 Mainehealth Franklin 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
- Penobscot Valley Hospital · Lincoln $96
- Lincolnhealth · Damariscotta $103
- Mainehealth Stephens Hospital · Norway $103
- Houlton Regional Hospital · Houlton $105
- Mainehealth Maine Medical Center · Portland $125
Insurance negotiated median for the same procedure, sorted lowest first.