Returning patient visit, 20 min cost in Helena, MT
In Helena, MT, 2 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $115.04 to $142.94, with a median of $128.99. The lowest listed price is at St. Peter's Health — $13.95 less than the median here. Across Montana, the median is $115.04 at 7 hospitals.
Cash prices at 2 facilities for code 99213, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Mar 10, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Helena, MT.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Peter's Health lowest Helena, MT · (406) 442-2480 CLINIC - GENERAL CLASSIFICATION | $115.04 | $135.34 | $128.57 | 15% | — source file |
| St. Peter's Health Helena, MT · (406) 442-2480 HC OFFICE/OUTPATIENT VISIT EST LEVEL 3 | $136.00 | $160.00 | $55.25 | 15% | — source file |
| St. Peter's Health Helena, MT · (406) 442-2480 HC OFFICE/OUTPATIENT VISIT EST LEVEL 3 | $136.00 | $160.00 | $65.17 | 15% | — source file |
| Montana Childrens Home & Hospital Helena, MT · (406) 444-7500 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $142.94 | $190.58 | $50.55–$83.67 | 25% | Mar 10, 2026 source file |
Outpatient: lowest $115.04, median $128.99, highest $142.94 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $136.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This is an office or outpatient visit for a returning patient with low complexity decision making, or at least 20 minutes of total clinician time on the visit date. It is one of the most common visit codes, used for things like a stable chronic condition or an acute problem such as an infection.
What the price covers
The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.