Office visit, established patient (20-29 min)
Facility: Mon Health Medical Center
Billing Code: 99213 (CPT)
A typical price — 2 charge more and 5 charge less, among the 9 WV hospitals compared.
Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $61 (about 0.6× the $95 Medicare rate). Mon Health Medical Center charges insurers about $57, or about $111 in cash — about the fair price. Located in Morgantown, WV.
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 | $57 - $274 | 60% |
| Blue Cross Blue Shieldmajor | $53 - $272 | 56% |
| Aetnamajor | $57 - $243 | 60% |
| Cignamajor | $107 - $274 | 112% |
| Humanamajor | $76 - $274 | 80% |
| GEHA | $55 - $295 | 58% |
| Paramount | $57 | 60% |
| UPMC Health Plan | $74 - $295 | 78% |
| + 13 smaller / regional plans | $35 - $289 |
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 Mon Health Medical Center
Compare: Office visit, established patient (20-29 min) at other WV hospitals
- Boone Memorial Hospital · Madison $47
- Vandalia Health Broaddus Hospital · Philippi $49
- Reynolds Memorial Hospital, Inc · Glen Dale $54
- Weirton Medical Center, Inc · Weirton $54
- Berkeley Medical Center · Martinsburg $55
- Wheeling Hospital, Inc · Wheeling $57
- Camc Greenbrier Valley Medical Center, Inc · Ronceverte $58
- Stonewall Jackson Memorial Hospital · Weston $58
Insurance negotiated median for the same procedure, sorted lowest first.