Office visit, established patient (20-29 min)
Facility: Wilson Memorial Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $76 (about 0.8× the $95 Medicare rate). Wilson Memorial Hospital charges insurers about $130, or about $122 in cash — above the fair price. Located in Sidney, OH.
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 $76. 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 | $155 - $169 | 163% |
| Blue Cross Blue Shieldmajor | $130 - $210 | 137% |
| Aetnamajor | $193 | 203% |
| Cignamajor | $220 | 231% |
| Humanamajor | $130 | 137% |
| Medical Mutual | $136 | 143% |
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 Wilson Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other OH hospitals
- Uhhs Memorial Hospital of Geneva · Geneva $37
- University Hospitals Conneaut Medical Center · Conneaut $37
- Cincinnati Children's Hospital Medical Center · Cincinnati $42
- Arthur G James Cancer Hospital and Research Institute · Columbus $47
- Mount Carmel Dublin · Dublin $55
- Memorial Hospital · Marysville $57
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
Insurance negotiated median for the same procedure, sorted lowest first.