Office visit, established patient (20-29 min)
Facility: Prosser Memorial Hospital
Billing Code: 99213 (CPT)
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 (20-29 min) is about $74 (about 0.8× the $95 Medicare rate). Prosser Memorial Hospital charges insurers about $74, or about $139 in cash — about the fair price. Located in Prosser, WA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $30 - $313 | 32% |
| Blue Cross Blue Shieldmajor | $72 - $232 | 76% |
| Aetnamajor | $65 - $341 | 68% |
| Cignamajor | $60 - $212 | 63% |
| Humanamajor | $55 - $219 | 58% |
| Kaiser Permanentemajor | $30 - $434 | 32% |
| Ambetter (Centene) | $133 - $564 | 140% |
| Amerigroup | $31 - $460 | 33% |
| Molina | $31 - $104 | 33% |
| WellCare | $54 - $313 | 57% |
| + 6 smaller / regional plans | $30 - $313 |
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 Prosser Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other WA hospitals
- Arbor Health Morton Hospital · Morton $48
- Mary Bridge Children's Hospital · Tacoma $50
- Shriners Hospital for Children · Spokane $58
- Lake Chelan Community Hospital · Chelan $65
- Newport Community Hospital · Newport $66
- Forks Community Hospital · Forks $67
- Trios Health · Kennewick $68
- Valley Medical Center · Renton $69
Insurance negotiated median for the same procedure, sorted lowest first.