Office visit, established patient (20-29 min)
Facility: Methodist Hospital for Surgery
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 $99 (about 1.0× the $95 Medicare rate). Methodist Hospital for Surgery charges insurers about $131, or about $253 in cash — above the fair price. Located in Addison, TX.
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 $99. 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.
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 | $61 - $139 | 64% |
| Blue Cross Blue Shieldmajor | $89 - $139 | 93% |
| Aetnamajor | $131 | 138% |
| Cignamajor | $137 - $139 | 144% |
| Humanamajor | $139 | 146% |
| Ambetter (Centene) | $98 | 103% |
| Bright Health | $80 | 84% |
| Friday Health | $98 | 103% |
| Molina | $83 | 87% |
| Oscar Health | $75 | 79% |
| WellCare | $131 | 138% |
| + 15 smaller / regional plans | $61 - $141 |
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 Methodist Hospital for Surgery
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.