Office visit, established patient (20-29 min)
Facility: Essentia Health St Mary's Medical Center
Billing Code: 99213 (CPT)
Highest price of the 9 MN hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $105 (about 1.1× the $95 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $117, or about $103 in cash — about the fair price. Located in Duluth, MN.
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 | $84 - $143 | 88% |
| Blue Cross Blue Shieldmajor | $51 - $149 | 54% |
| Aetnamajor | $98 - $167 | 103% |
| Cignamajor | $82 - $140 | 86% |
| HealthPartners | $46 - $140 | 48% |
| Medica | $38 - $120 | 40% |
| Sanford Health Plan | $49 - $88 | 51% |
| Security Health Plan | $89 - $151 | 93% |
| UCare | $76 - $129 | 80% |
| + 4 smaller / regional plans | $51 - $169 |
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 Essentia Health St Mary's Medical Center
Compare: Office visit, established patient (20-29 min) at other MN hospitals
- Madelia Health · Madelia $55
- Chippewa County Hospital · Montevideo $62
- Windom Area Health · Windom $62
- Meeker Memorial Hospital · Litchfield $62
- Glacial Ridge Hospital · Glenwood $62
- Perham Health · Perham $63
- Ely - Bloomenson Community Hospital · Ely $65
- Fairview Bethesda Hospital · Saint Paul $66
Insurance negotiated median for the same procedure, sorted lowest first.