Office visit, established patient (30-39 min)
Facility: Prisma Health Baptist
Billing Code: 99214 (CPT)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $131 (about 1.0× the $136 Medicare rate). Prisma Health Baptist charges insurers about $134, or about $124 in cash — about the fair price. Located in Columbia, SC.
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 | $16 - $134 | 12% |
| Blue Cross Blue Shieldmajor | $122 - $146 | 90% |
| Aetnamajor | $66 - $220 | 49% |
| Cignamajor | $128 - $136 | 94% |
| Humanamajor | $77 - $208 | 57% |
| Ambetter (Centene) | $236 - $239 | 174% |
| Molina | $134 - $136 | 99% |
| WellCare | $134 - $136 | 99% |
| + 13 smaller / regional plans | $24 - $259 |
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 Prisma Health Baptist
Compare: Office visit, established patient (30-39 min) at other SC hospitals
- Newberry County Memorial Hospital · Newberry $79
- Shriners Hospitals for Children · Greenville $95
- Novant Health Hilton Head Medical Center · Hilton Head Island $111
- East Cooper Medical Center · Mount Pleasant $111
- Coastal Carolina Hospital · Hardeeville $111
- Conway Medical Center · Conway $119
- Anmed Health · Anderson $121
- Prisma Health Richland Hospital · Columbia $131
Insurance negotiated median for the same procedure, sorted lowest first.