Office visit, established patient (20-29 min)
Facility: Trinity Health Oakland Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 MI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $59 (about 0.6× the $95 Medicare rate). Trinity Health Oakland Hospital charges insurers about $103 — above the fair price. Located in Pontiac, MI.
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 $59. 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 | $49 - $94 | 51% |
| Blue Cross Blue Shieldmajor | $59 - $94 | 62% |
| Aetnamajor | $62 - $135 | 65% |
| Cignamajor | $59 - $138 | 62% |
| Humanamajor | $59 - $111 | 62% |
| Ambetter (Centene) | $59 | 62% |
| AmeriHealth | $111 | 117% |
| Clover Health | $80 - $94 | 84% |
| Dean Health Plan | $110 - $129 | 116% |
| GEHA | $49 - $57 | 51% |
| Health Net | $59 - $135 | 62% |
| HealthPartners | $59 - $78 | 62% |
| MagnaCare | $111 | 117% |
| Medical Mutual | $111 | 117% |
| Meridian | $59 - $94 | 62% |
| Molina | $59 - $129 | 62% |
| MVP Health Care | $110 - $129 | 116% |
| Oscar Health | $84 | 88% |
| Paramount | $59 | 62% |
| Presbyterian | $59 - $94 | 62% |
| Priority Health | $93 - $109 | 98% |
| Tufts Health Plan | $59 - $78 | 62% |
| UniCare | $111 | 117% |
| WellMed | $80 - $94 | 84% |
| WellSense | $59 | 62% |
| + 421 smaller / regional plans | $59 - $148 |
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 Trinity Health Oakland Hospital
Compare: Office visit, established patient (20-29 min) at other MI hospitals
- Sparrow Ionia Hospital · Ionia $34
- Huron Valley-Sinai Hospital · Commerce Township $46
- Trinity Health Livingston Hospital · Howell $47
- University of Michigan Health System · Ann Arbor $56
- Harper University Hospital · Detroit $56
- Munson Healthcare Otsego Memorial Hospital · Gaylord $57
- St Joe Mercy Hospital System Livonia · Livonia $58
- Henry Ford Health Brighton Center for Recovery · Brighton $59
Insurance negotiated median for the same procedure, sorted lowest first.