Office visit, established patient (20-29 min)
Facility: Shodair Children's Hospital
Billing Code: 99213 (CPT)
One of the lower prices — 6 of 8 other MT hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $84 (about 0.9× the $95 Medicare rate). Shodair Children's Hospital charges insurers about $83, or about $143 in cash — about the fair price. Located in Helena, MT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 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 |
|---|---|---|
| PacificSource | $83 | 87% |
| + 1 smaller / regional plan | $84 |
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 Shodair Children's Hospital
Compare: Office visit, established patient (20-29 min) at other MT hospitals
- St Peters Health · Helena $66
- Central Montana Medical Center · Lewistown $79
- Sheridan Memorial Hosptial · Plentywood $85
- Stillwater Billings Clinic · Columbus $85
- Frances Mahon Deaconess Hospital · Glasgow $89
- Daniels Memorial Hospital · Scobey $89
- Wheatland Memorial Hospital · Harlowton $90
- Sidney Health Center · Sidney $105
Insurance negotiated median for the same procedure, sorted lowest first.