New patient office visit (30-44 min)
Facility: Mercy Health Saint Mary's
Billing Code: 99203 (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 New patient office visit (30-44 min) is about $95 (about 0.8× the $118 Medicare rate). Mercy Health Saint Mary's charges insurers about $111 — above the fair price. Located in Grand Rapids, 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 $95. 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 | $75 - $115 | 64% |
| Blue Cross Blue Shieldmajor | $75 - $117 | 64% |
| Aetnamajor | $75 - $166 | 64% |
| Cignamajor | $75 - $113 | 64% |
| Humanamajor | $75 - $113 | 64% |
| Ambetter (Centene) | $75 | 64% |
| AmeriHealth | $113 | 96% |
| Clover Health | $111 | 94% |
| Dean Health Plan | $153 | 130% |
| GEHA | $111 | 94% |
| Health Net | $75 - $166 | 64% |
| HealthPartners | $75 - $117 | 64% |
| MagnaCare | $113 | 96% |
| Medical Mutual | $113 | 96% |
| Meridian | $75 - $111 | 64% |
| Molina | $75 - $153 | 64% |
| MVP Health Care | $153 | 130% |
| Oscar Health | $153 | 130% |
| Paramount | $75 | 64% |
| Presbyterian | $75 - $111 | 64% |
| Priority Health | $119 | 101% |
| Tufts Health Plan | $75 - $117 | 64% |
| UniCare | $113 | 96% |
| WellMed | $111 | 94% |
| WellSense | $75 | 64% |
| + 421 smaller / regional plans | $75 - $175 |
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 Mercy Health Saint Mary's
Compare: New patient office visit (30-44 min) at other MI hospitals
- Sparrow Ionia Hospital · Ionia $47
- Huron Valley-Sinai Hospital · Commerce Township $62
- University of Michigan Health System · Ann Arbor $70
- Trinity Health Livingston Hospital · Howell $70
- Corewell Health Wayne Hospital · Wayne $72
- Corewell Health Trenton Hospital · Trenton $72
- Beaumont Hospital - Taylor · Taylor $72
- Harper University Hospital · Detroit $74
Insurance negotiated median for the same procedure, sorted lowest first.