Office visit, established patient (30-39 min)
Facility: St Nicholas Hospital
Billing Code: 99214 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $112 (about 0.8× the $136 Medicare rate). St Nicholas Hospital charges insurers about $113, or about $269 in cash — about the fair price. Located in Sheboygan, WI.
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 | $90 - $95 | 66% |
| Blue Cross Blue Shieldmajor | $126 - $159 | 93% |
| Aetnamajor | $407 | 300% |
| Cignamajor | $285 | 210% |
| Humanamajor | $113 - $346 | 83% |
| Health Net | $244 | 180% |
| Molina | $204 | 150% |
| Security Health Plan | $260 | 192% |
| + 13 smaller / regional plans | $198 - $407 |
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 St Nicholas Hospital
Compare: Office visit, established patient (30-39 min) at other WI hospitals
- Vernon Memorial Hospital · Viroqua $73
- Aurora Medical Ctr Manitowoc County · Two Rivers $82
- Aurora Medical Center Sheboygan County · Sheboygan $82
- Aurora Medical Ctr Washington County · Hartford $82
- Aurora Memorial Hospital Burlington · Burlington $82
- Aurora Lakeland Medical Center · Elkhorn $82
- Aurora St Lukes Medical Center · Milwaukee $82
- West Allis Memorial Hospital · West Allis $82
Insurance negotiated median for the same procedure, sorted lowest first.