Office visit, established patient (20-29 min)
Facility: Stephens Memorial Hospital
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 $105 (about 1.1× the $95 Medicare rate). Stephens Memorial Hospital charges insurers about $88, or about $161 in cash — below the fair price — a good deal. Located in Breckenridge, TX.
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 | $24 - $179 | 25% |
| Blue Cross Blue Shieldmajor | $106 - $201 | 111% |
| Aetnamajor | $24 - $201 | 25% |
| Cignamajor | $90 - $165 | 95% |
| Humanamajor | $48 - $90 | 50% |
| + 1 smaller / regional plan | $161 |
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 Stephens Memorial Hospital
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.