Office visit, established patient (30-39 min)
Facility: Trinity Health Muskegon Hospital
Billing Code: 99214 (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 (30-39 min) is about $95 (about 0.7× the $136 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $139, or about $90 in cash — above the fair price. Located in Muskegon, 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.
6 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 | $94 - $131 | 69% |
| Blue Cross Blue Shieldmajor | $74 - $690 | 55% |
| Aetnamajor | $82 - $190 | 60% |
| Cignamajor | $109 - $128 | 80% |
| Humanamajor | $109 - $128 | 80% |
| Kaiser Permanentemajor | $690 | 509% |
| Ambetter (Centene) | $119 | 88% |
| AmeriHealth | $119 | 88% |
| Clover Health | $109 - $128 | 80% |
| Dean Health Plan | $150 - $176 | 111% |
| GEHA | $94 - $111 | 69% |
| Health Net | $119 - $190 | 88% |
| HealthPartners | $115 - $119 | 85% |
| MagnaCare | $119 | 88% |
| Medical Mutual | $119 | 88% |
| Meridian | $109 - $128 | 80% |
| Molina | $109 - $176 | 80% |
| MVP Health Care | $150 - $176 | 111% |
| Oscar Health | $84 - $176 | 62% |
| Paramount | $119 | 88% |
| Presbyterian | $109 - $128 | 80% |
| Priority Health | $116 - $136 | 86% |
| Tufts Health Plan | $115 - $119 | 85% |
| UniCare | $119 | 88% |
| WellMed | $109 - $128 | 80% |
| WellSense | $119 | 88% |
| + 427 smaller / regional plans | $59 - $690 |
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 Muskegon Hospital
Compare: Office visit, established patient (30-39 min) at other MI hospitals
- St Joe Mercy Hospital System Livonia · Livonia $45
- Sparrow Ionia Hospital · Ionia $50
- Huron Valley-Sinai Hospital · Commerce Township $63
- Trinity Health Livingston Hospital · Howell $70
- Beacon Plainwell · Plainwell $75
- Harper University Hospital · Detroit $77
- University of Michigan Health System · Ann Arbor $84
- Munson Healthcare Otsego Memorial Hospital · Gaylord $84
Insurance negotiated median for the same procedure, sorted lowest first.