Office visit, established patient (20-29 min)
Facility: Mercy Health Lakeshore Campus
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 $65 (about 0.7× the $95 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $84 — above the fair price. Located in Shelby, 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 $65. 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 | $63 - $86 | 66% |
| Blue Cross Blue Shieldmajor | $71 - $88 | 75% |
| Aetnamajor | $76 - $114 | 80% |
| Cignamajor | $76 - $84 | 80% |
| Humanamajor | $76 - $84 | 80% |
| Ambetter (Centene) | $84 | 88% |
| AmeriHealth | $82 | 86% |
| Clover Health | $76 | 80% |
| Dean Health Plan | $105 | 110% |
| GEHA | $63 | 66% |
| Health Net | $84 - $114 | 88% |
| HealthPartners | $78 - $84 | 82% |
| MagnaCare | $82 | 86% |
| Medical Mutual | $82 | 86% |
| Meridian | $76 - $84 | 80% |
| Molina | $84 - $105 | 88% |
| MVP Health Care | $105 | 110% |
| Oscar Health | $105 | 110% |
| Paramount | $84 | 88% |
| Presbyterian | $76 - $84 | 80% |
| Priority Health | $82 | 86% |
| Tufts Health Plan | $78 - $84 | 82% |
| UniCare | $82 | 86% |
| WellMed | $76 | 80% |
| WellSense | $84 | 88% |
| + 422 smaller / regional plans | $71 - $120 |
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 Lakeshore Campus
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.