Returning patient visit, 20 min cost in Indianapolis, IN
In Indianapolis-Carmel-Greenwood, IN, 13 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $33.00 to $333.60, with a median of $34.80. The lowest listed price is at St. Vincent Carmel Hospital and 5 other hospitals — $1.80 less than the median here. Across Indiana, the median is $65.00 at 53 hospitals.
Cash prices at 13 facilities across 8 cities for code 99213, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and May 5, 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 Indianapolis-Carmel-Greenwood, IN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Vincent Carmel Hospital lowest Carmel, IN · (317) 582-7000 O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 40% | — source file |
| Endo Surgery Center lowest Carmel, IN O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 40% | — source file |
| Carmel AmbSurg lowest Carmel, IN O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 40% | — source file |
| St. Vincent Fishers Hospital lowest Fishers, IN · (317) 415-9000 O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 40% | — source file |
| Naab Road Surgery Center lowest Indianapolis, IN O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 40% | — source file |
| St. Vincent Heart Center of Indiana lowest Carmel, IN · (317) 583-5000 O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 40% | — source file |
| Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 O/P VISIT LEVEL 3 (MD) | $34.80 | $58.00 | $7.82–$55.88 | 40% | — source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 AC OP VISIT LEVEL3 ESTABLISHED | $82.80 | $138.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 AC OP VISIT LEVEL3 ESTABLISHED | $82.80 | $138.00 | $7.82–$71.77 | 40% | — source file |
| Johnson Memorial Hospital Franklin, IN · (317) 736-3300 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $115.88 | $144.85 | $55.10–$114.43 | 20% | May 5, 2026 source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 COAG OP VISIT LEVEL 3 ESTABL | $145.20 | $242.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 COAG OP VISIT LEVEL 3 ESTABL | $145.20 | $242.00 | $7.82–$71.77 | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 RVHH OP UC VISIT LEVEL III EST PT | $181.20 | $302.00 | — | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 OP VISIT LEVEL III EST PT | $196.80 | $328.00 | — | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 EST PT-LEVEL 3 TWOC | $196.80 | $328.00 | — | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 RVHH LD OP EST LEVEL 3 | $207.00 | $345.00 | — | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 RVH TELEHLTH LACT CONS 31-45MIN | $207.00 | $345.00 | — | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 LACTATION CONSULT 31-45 MINUTES | $207.00 | $345.00 | — | 40% | — source file |
| Riverview Health Noblesville, IN · (317) 773-0760 LEVEL III VISIT ANTICOAGULATION | $237.60 | $396.00 | — | 40% | — source file |
| Eskenazi Health Indianapolis, IN · (317) 880-4818 HC Ep-Level III | $250.20 | $278.00 | $59.00–$278.00 | 10% | — source file |
| Witham Memorial Hospital Lebanon, IN · (765) 485-8000 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $283.71 | $405.30 | $55.10–$1,013.25 | 30% | Mar 31, 2026 source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 OP VISIT LEVEL 3 W/PROC | $293.40 | $489.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 OP VISIT LEVEL 3 ESTABLISHED | $293.40 | $489.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 OP VISIT LEVEL 3 W/PROC | $293.40 | $489.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 OP VISIT LEVEL 3 ESTABLISHED | $293.40 | $489.00 | $7.82–$71.77 | 40% | — source file |
| Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 OP VISIT LEVEL 3 W/PROC | $318.00 | $530.00 | $7.82–$71.77 | 40% | — source file |
| Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 OP VISIT LEVEL 3 ESTABLISHED | $318.00 | $530.00 | $7.82–$71.77 | 40% | — source file |
| Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 OP VISIT LEVEL 3 W/PROC | $318.00 | $530.00 | $7.82–$71.77 | 40% | — source file |
| Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 OP VISIT LEVEL 3 ESTABLISHED | $318.00 | $530.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Naab Road Surgery Center Indianapolis, IN WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Seton Specialty Hospital Indianapolis, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Carmel AmbSurg Carmel, IN WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
| Endo Surgery Center Carmel, IN OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 40% | — source file |
Outpatient: lowest $33.00, median $34.80, highest $333.60 — a 10.1× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $33.00. 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 9 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.