Office visit, established patient (30-39 min)
Facility: Skagit Valley Hospital
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $283 compared to the $116 fair price benchmark.
3-Star CMS clinical quality rating paired with 2.44× fair market pricing.
Highest price of the 9 WA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $116 (about 0.9× the $136 Medicare rate). Skagit Valley Hospital charges insurers about $283, or about $340 in cash — well above the fair price. Located in Mount Vernon, WA.
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 $116. 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.
4 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 |
|---|---|---|
| Aetnamajor | $140 - $382 | 103% |
| Cignamajor | $123 - $338 | 91% |
| Humanamajor | $147 - $404 | 108% |
| Kaiser Permanentemajor | $22 - $61 | 16% |
| Amerigroup | $520 | 383% |
| + 2 smaller / regional plans | $45 - $348 |
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 Skagit Valley Hospital
Compare: Office visit, established patient (30-39 min) at other WA hospitals
- Multicare Auburn Medical Center · Auburn $45
- Multicare Good Samaritan Hospital · Puyallup $45
- Tacoma General Allenmore Hospital · Tacoma $45
- Multicare Covington Medical Center · Covington $45
- Mary Bridge Children's Hospital · Tacoma $45
- Arbor Health Morton Hospital · Morton $67
- Lincoln Hospital · Davenport $73
- Shriners Hospital for Children · Spokane $85
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Skagit Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $154
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $154).
Self-Pay Cash Rate ($340) Beats Your Bill
Skagit Valley Hospital's published 45 CFR § 180 self-pay cash rate is $340 (vs. $283 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $116 Fair BaseRate ($136 Medicare)
Your bill ($425) is $309 above the denoised Fair BaseRate ($116) and 3.1× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.