Office visit, established patient (30-39 min)
Facility: Shriners Hospitals for Children
Billing Code: 99214 (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 (30-39 min) is about $168 (about 1.2× the $136 Medicare rate). Shriners Hospitals for Children charges insurers about $87, or about $246 in cash — below the fair price — a good deal. Located in Galveston, TX.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 | $154 | 114% |
| Aetnamajor | $57 - $2,061 | 42% |
| Ambetter (Centene) | $57 - $2,765 | 42% |
| AmeriHealth | $57 - $2,061 | 42% |
| + 2 smaller / regional plans | $118 - $179 |
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 Shriners Hospitals for Children
Compare: Office visit, established patient (30-39 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $48
- Throckmorton County Memorial Hospital · Throckmorton $54
- Cook Childrens Medical Center · Fort Worth $59
- Ochiltree General Hospital · Perryton $68
- Cook Childrens Medical Center Prosper · Prosper $69
- PAM Specialty Hospital of Texarkana North · Texarkana $70
- Riceland Medical Center · Winnie $74
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $77
Insurance negotiated median for the same procedure, sorted lowest first.