Office visit, established patient (30-39 min)
Facility: Merit Health Madison
Billing Code: 99214 (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 (30-39 min) is about $110 (about 0.8× the $136 Medicare rate). Merit Health Madison charges insurers about $126, or about $132 in cash — about the fair price. Located in Canton, MS.
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 | $73 - $75 | 54% |
| Blue Cross Blue Shieldmajor | $91 | 67% |
| Cignamajor | $232 | 171% |
| Humanamajor | $125 | 92% |
| Ambetter (Centene) | $182 | 134% |
| Devoted Health | $126 | 93% |
| Molina | $82 - $258 | 60% |
| WellCare | $124 | 91% |
| + 6 smaller / regional plans | $83 - $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 (30-39 min) at other MS hospitals
- Magnolia Regional Health Center · Corinth $59
- Ochsner Medical Center-Hancock · Bay Saint Louis $78
- Tallahatchie General Hospital-Cah · Charleston $80
- Memorial Hospital Biloxi · Biloxi $81
- Neshoba County General Hospital · Philadelphia $81
- Magee General Hospital · Magee $83
- Singing River Health System · Pascagoula $85
- Singing River Gulfport · Gulfport $85
Insurance negotiated median for the same procedure, sorted lowest first.