Office visit, established patient (30-39 min)
Facility: Peacehealth St John Medical Center
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $89 compared to the $113 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.79× 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 $113 (about 0.8× the $136 Medicare rate). Peacehealth St John Medical Center charges insurers about $89, or about $211 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 | $89 - $605 | 66% |
| Blue Cross Blue Shieldmajor | $86 - $89 | 63% |
| Aetnamajor | $94 | 69% |
| Humanamajor | $94 | 69% |
| Kaiser Permanentemajor | $89 | 66% |
| Devoted Health | $89 | 66% |
| Health Net | $94 | 69% |
| Moda Health | $85 | 63% |
| Molina | $34 - $91 | 25% |
| WellCare | $94 | 69% |
| + 2 smaller / regional plans | $66 - $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 (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 Peacehealth St John Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $118
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 = $118).
Self-Pay Cash Rate ($211) Beats Your Bill
Peacehealth St John Medical Center's published 45 CFR § 180 self-pay cash rate is $211 (vs. $89 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $113 Fair BaseRate ($136 Medicare)
Your bill ($324) is $211 above the denoised Fair BaseRate ($113) and 2.4× 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.