Office visit, established patient (20-29 min)
Facility: Peacehealth St John Medical Center
Billing Code: 99213 (CPT)
This hospital's typical commercial price is $61 compared to the $80 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.76× 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.
Note: 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 $80 (about 0.8× the $95 Medicare rate). Peacehealth St John Medical Center charges insurers about $61, or about $224 in cash — below the fair price — a good deal. Located in Longview, WA.
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 - $412 | 64% |
| Blue Cross Blue Shieldmajor | $58 - $61 | 61% |
| Aetnamajor | $64 | 67% |
| Humanamajor | $64 | 67% |
| Kaiser Permanentemajor | $61 | 64% |
| Devoted Health | $61 | 64% |
| Health Net | $64 | 67% |
| Moda Health | $58 | 61% |
| Molina | $23 - $62 | 24% |
| WellCare | $64 | 67% |
| + 2 smaller / regional plans | $45 - $660 |
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 Peacehealth St John Medical Center
Compare: Office visit, established patient (20-29 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 $48
- Lincoln Hospital · Davenport $51
- Shriners Hospital for Children · Spokane $58
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Peacehealth St John Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $125
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 = $125).
Self-Pay Cash Rate ($224) Beats Your Bill
Peacehealth St John Medical Center's published 45 CFR § 180 self-pay cash rate is $224 (vs. $61 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $80 Fair BaseRate ($95 Medicare)
Your bill ($345) is $265 above the denoised Fair BaseRate ($80) and 3.6× the $95 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.