Office visit, established patient (20-29 min)
Facility: St David's South Austin Medical Center
Billing Code: 99213 (CPT)
Highest price of the 9 TX hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $184 (about 1.9× the $95 Medicare rate). St David's South Austin Medical Center charges insurers about $197, or about $582 in cash — about the fair price. Located in Austin, TX.
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 |
|---|---|---|
| UnitedHealthcaremajor | $83 - $2,241 | 87% |
| Blue Cross Blue Shieldmajor | $107 - $715 | 112% |
| Aetnamajor | $118 - $1,237 | 124% |
| Cignamajor | $97 - $919 | 102% |
| Amerigroup | $29 | 30% |
| Health Net | $218 - $1,457 | 229% |
| Healthcare Highways | $97 - $672 | 102% |
| Moda Health | $79 - $829 | 83% |
| Oscar Health | $430 - $480 | 452% |
| + 24 smaller / regional plans | $64 - $2,017 |
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 David's South Austin Medical Center
Compare: Office visit, established patient (20-29 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $34
- Ochiltree General Hospital · Perryton $43
- PAM Specialty Hospital of Texarkana North · Texarkana $47
- Riceland Medical Center · Winnie $48
- Cook Childrens Medical Center · Fort Worth $51
- Cook Childrens Medical Center Prosper · Prosper $51
- Peterson Regional Medical Center · Kerrville $52
- North Texas Medical Center · Gainesville $52
Insurance negotiated median for the same procedure, sorted lowest first.