Office visit, established patient (20-29 min)
Facility: Munson Healthcare Manistee Hospital
Billing Code: 99213 (CPT)
- CPT Billing Code: 99213
- Insurance Median: $98
- Cash Discount Price: $114
- vs. Medicare Baseline: 1.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $24 - $86 | 25% |
| Hospice Of Michigan | $28 - $88 | 29% |
| Munson Hospice | $33 - $852 | 35% |
| Mclaren Health Plan | $35 - $110 | 37% |
| Asr/Physicians Care | $38 - $117 | 40% |
| Enterprise Group Planning/Employee Benefits Plan | $38 - $117 | 40% |
| Hap (Health Alliance Plan) | $38 - $117 | 40% |
| Medical Cost Savings Solution | $38 - $117 | 40% |
| Nomi Health | $38 - $117 | 40% |
| Provider Network Of America | $40 - $124 | 42% |
| Three Rivers Provider Network | $40 - $124 | 42% |
| Aetna | $41 - $126 | 43% |
| Cofinity | $41 - $128 | 43% |
| Multiplan | $41 - $128 | 43% |
| Great West Healthcare | $42 - $131 | 44% |
| Meridian | $42 - $48 | 44% |
| Molina | $42 - $99 | 44% |
| Priority Health | $42 - $159 | 44% |
| UnitedHealthcare | $42 - $131 | 44% |
| Prime Health Services | $43 - $134 | 45% |
| Humana | $57 - $91 | 60% |
| Medicare (plans) | $57 - $91 | 60% |
| Michigan Amish Medical Board | $57 - $91 | 60% |
| Northern Michigan Mennonite Group | $57 - $91 | 60% |
| Wellcare Meridian | $57 - $91 | 60% |
| Cigna | $75 - $159 | 79% |
| Employee Benefits Logistics | $97 - $155 | 102% |