Office visit, established patient (20-29 min)
Facility: Sky Lakes Medical Center
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 $90 (about 0.9× the $95 Medicare rate). Sky Lakes Medical Center charges insurers about $143, or about $201 in cash — above the fair price. Located in Klamath Falls, OR.
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 $90. 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.
6 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 | $139 - $607 | 146% |
| Blue Cross Blue Shieldmajor | $139 - $607 | 146% |
| Aetnamajor | $139 - $607 | 146% |
| Cignamajor | $139 - $607 | 146% |
| Humanamajor | $139 - $607 | 146% |
| Kaiser Permanentemajor | $139 - $607 | 146% |
| GEHA | $139 - $607 | 146% |
| Health Net | $139 - $607 | 146% |
| HealthPartners | $139 - $607 | 146% |
| Moda Health | $114 - $607 | 120% |
| MVP Health Care | $139 - $607 | 146% |
| PacificSource | $125 - $547 | 131% |
| Providence Health Plan | $139 - $607 | 146% |
| Sanford Health Plan | $139 - $607 | 146% |
| UPMC Health Plan | $139 - $607 | 146% |
| WellCare | $143 | 150% |
| + 201 smaller / regional plans | $139 - $607 |
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 Sky Lakes Medical Center
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.