Office visit, established patient (30-39 min)
Facility: Primary Children's Hospital
Billing Code: 99214 (CPT)
A typical price — 0 charge more and 5 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.
A fair price for a Office visit, established patient (30-39 min) is about $99 (about 0.7× the $136 Medicare rate). Primary Children's Hospital charges insurers about $120, or about $295 in cash — above the fair price. Located in Salt Lake City, UT.
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 | $95 - $330 | 70% |
| Blue Cross Blue Shieldmajor | $287 - $338 | 212% |
| Aetnamajor | $279 - $334 | 206% |
| Cignamajor | $279 - $330 | 206% |
| Humanamajor | $279 - $330 | 206% |
| Health Net | $318 | 235% |
| Molina | $95 - $330 | 70% |
| SelectHealth | $95 - $330 | 70% |
| + 32 smaller / regional plans | $95 - $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 (30-39 min) at other UT hospitals
- Blue Mountain Hospital · Blanding $50
- Holy Cross Hospital-Jordan Valley · West Jordan $78
- Mountain West Medical Center · Tooele $83
- Holy Cross Hospital - Salt Lake · Salt Lake City $84
- Holy Cross Hospital-Davis · Layton $113
- Cedar City Hospital · Cedar City $120
- Intermountain Health Sevier Valley Hospital · Richfield $120
- Bear River Valley Hospital · Tremonton $120
Insurance negotiated median for the same procedure, sorted lowest first.