Office visit, established patient (30-39 min)
Facility: McLaren Macomb
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 $98 (about 0.7× the $136 Medicare rate). McLaren Macomb charges insurers about $95, or about $112 in cash — about the fair price. Located in Mount Clemens, MI.
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 | $87 - $367 | 64% |
| Blue Cross Blue Shieldmajor | $124 | 91% |
| Aetnamajor | $100 - $335 | 74% |
| Humanamajor | $84 | 62% |
| Priority Health | $107 - $305 | 79% |
| + 3 smaller / regional plans | $55 - $96 |
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 McLaren Macomb
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.