Office visit, established patient (30-39 min)
Facility: Seattle Children's Hospital
Billing Code: 99214 (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 (30-39 min) is about $163 (about 1.2× the $136 Medicare rate). Seattle Children's Hospital charges insurers about $203, or about $140 in cash — above the fair price. Located in Seattle, 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 $163. 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.
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 | $37 - $183 | 27% |
| Blue Cross Blue Shieldmajor | $37 - $232 | 27% |
| Aetnamajor | $118 - $242 | 87% |
| Cignamajor | $119 - $200 | 88% |
| Humanamajor | $133 - $242 | 98% |
| Kaiser Permanentemajor | $36 - $205 | 27% |
| Medical Mutual | $133 - $242 | 98% |
| Moda Health | $118 - $242 | 87% |
| Molina | $36 - $151 | 27% |
| PacificSource | $134 | 99% |
| Providence Health Plan | $119 - $203 | 88% |
| SelectHealth | $133 - $242 | 98% |
| Tufts Health Plan | $119 - $200 | 88% |
| + 61 smaller / regional plans | $35 - $242 |
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 Seattle Children's Hospital
Compare: Office visit, established patient (30-39 min) at other WA hospitals
- Mary Bridge Children's Hospital · Tacoma $50
- Arbor Health Morton Hospital · Morton $67
- Shriners Hospital for Children · Spokane $85
- Lake Chelan Community Hospital · Chelan $88
- Newport Community Hospital · Newport $97
- Forks Community Hospital · Forks $99
- Deaconess Medical Center · Spokane $100
- Multicare Valley Hospital · Spokane Valley $100
Insurance negotiated median for the same procedure, sorted lowest first.