Office visit, established patient (20-29 min)
Facility: OHSU Hospital and Clinics
Billing Code: 99213 (CPT)
Highest price of the 9 OR hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $123 (about 1.3× the $95 Medicare rate). OHSU Hospital and Clinics charges insurers about $141, or about $236 in cash — about the fair price. Located in Portland, OR.
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $87 - $381 | 91% |
| Aetnamajor | $113 - $1,088 | 119% |
| Cignamajor | $133 - $1,275 | 140% |
| Kaiser Permanentemajor | $70 - $837 | 74% |
| Health Net | $112 - $1,080 | 118% |
| Moda Health | $72 - $860 | 76% |
| Molina | $145 - $1,395 | 152% |
| Providence Health Plan | $123 - $1,186 | 129% |
| + 6 smaller / regional plans | $28 - $1,085 |
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 OHSU Hospital and Clinics
Compare: Office visit, established patient (20-29 min) at other OR hospitals
- Saint Alphonsus Medical Center Ontario · Ontario $48
- McKenzie-Willamette Medical Center · Springfield $50
- Santiam Hospital & Clinics · Stayton $59
- Shriners Hospital for Children - Portland · Portland $74
- Wallowa Memorial Hospital · Enterprise $75
- Adventist Health Portland · Portland $86
- Mid-Columbia Medical Center · The Dalles $95
- Lower Umpqua Hospital District · Reedsport $98
Insurance negotiated median for the same procedure, sorted lowest first.