Office visit, established patient (20-29 min)
Facility: Merit Health Madison
Billing Code: 99213 (CPT)
Highest price of the 9 MS hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $95 (about 1.0× the $95 Medicare rate). Merit Health Madison charges insurers about $122, or about $98 in cash — above the fair price. Located in Canton, MS.
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.
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 | $55 - $56 | 58% |
| Blue Cross Blue Shieldmajor | $85 | 89% |
| Cignamajor | $172 | 181% |
| Humanamajor | $125 | 131% |
| Ambetter (Centene) | $135 | 142% |
| Devoted Health | $126 | 132% |
| Molina | $56 - $246 | 59% |
| WellCare | $124 | 130% |
| + 6 smaller / regional plans | $56 - $244 |
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 Merit Health Madison
Compare: Office visit, established patient (20-29 min) at other MS hospitals
- Magnolia Regional Health Center · Corinth $48
- Tallahatchie General Hospital-Cah · Charleston $54
- Memorial Hospital Biloxi · Biloxi $55
- Neshoba County General Hospital · Philadelphia $55
- Magee General Hospital · Magee $56
- Singing River Health System · Pascagoula $58
- Singing River Gulfport · Gulfport $58
- Methodist Healthcare - Olive Branch Hospital · Olive Branch $60
Insurance negotiated median for the same procedure, sorted lowest first.