Office visit, established patient (30-39 min)
Facility: St Charles Madras
Billing Code: 99214 (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 (30-39 min) is about $159 (about 1.2× the $136 Medicare rate). St Charles Madras charges insurers about $221, or about $268 in cash — above the fair price. Located in Madras, 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 $159. 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 | $73 - $1,549 | 54% |
| Blue Cross Blue Shieldmajor | $81 - $443 | 60% |
| Aetnamajor | $73 - $1,459 | 54% |
| Cignamajor | $73 - $402 | 54% |
| Humanamajor | $73 - $402 | 54% |
| Kaiser Permanentemajor | $48 - $1,452 | 35% |
| Devoted Health | $73 - $402 | 54% |
| Health Net | $73 - $1,576 | 54% |
| Moda Health | $100 - $1,676 | 74% |
| PacificSource | $36 - $917 | 27% |
| Providence Health Plan | $82 - $1,467 | 60% |
| UniCare | $73 - $402 | 54% |
| WellCare | $73 - $402 | 54% |
| + 61 smaller / regional plans | $48 - $1,676 |
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 St Charles Madras
Compare: Office visit, established patient (30-39 min) at other OR hospitals
- Willamette Valley Medical Center · McMinnville $51
- McKenzie-Willamette Medical Center · Springfield $74
- Santiam Hospital & Clinics · Stayton $83
- Wallowa Memorial Hospital · Enterprise $96
- Shriners Hospital for Children - Portland · Portland $109
- St Charles Medical Center - Bend · Bend $124
- Adventist Health Portland · Portland $127
- Mid-Columbia Medical Center · The Dalles $141
Insurance negotiated median for the same procedure, sorted lowest first.