Office visit, established patient (20-29 min)
Facility: Primary Children's Hospital
Billing Code: 99213 (CPT)
A typical price — 0 charge more and 3 charge less, among the 9 UT hospitals compared.
Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Office visit, established patient (20-29 min) is about $72 (about 0.8× the $95 Medicare rate). Primary Children's Hospital charges insurers about $76, or about $295 in cash — about the fair price. Located in Salt Lake City, UT.
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 | $64 - $330 | 67% |
| Blue Cross Blue Shieldmajor | $287 - $338 | 302% |
| Aetnamajor | $279 - $334 | 293% |
| Cignamajor | $279 - $330 | 293% |
| Humanamajor | $279 - $330 | 293% |
| Health Net | $318 | 334% |
| Molina | $64 - $330 | 67% |
| SelectHealth | $64 - $330 | 67% |
| + 31 smaller / regional plans | $64 - $346 |
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 Primary Children's Hospital
Compare: Office visit, established patient (20-29 min) at other UT hospitals
- Holy Cross Hospital-Jordan Valley · West Jordan $53
- Mountain West Medical Center · Tooele $56
- Holy Cross Hospital - Salt Lake · Salt Lake City $57
- Cedar City Hospital · Cedar City $76
- Intermountain Health Sevier Valley Hospital · Richfield $76
- Bear River Valley Hospital · Tremonton $76
- Park City Hospital · Park City $76
- Intermountain Health Delta Community Hospital · Delta $76
Insurance negotiated median for the same procedure, sorted lowest first.