Office visit, established patient, 20-29 minutes in Michigan
What Michigan hospitals charge for office visit, established patient, 20-29 minutes (CPT 99213). Rates sourced from federally-mandated machine-readable files.
Hospitals
29
Rate rows
1,734
Neg. median
$75
Min
$14
Max
$798
Cash median
$81.83
Across 29 Michigan hospitals, the negotiated rate for Office visit, established patient, 20-29 minutes ranges from $14 to $798, with a median of $75. The interquartile range is $50.9 to $124.8. Cash-pay patients typically pay $81.83; gross charges median $178.
By payer in Michigan
Top 30 payers for Office visit, established patient, 20-29 minutes in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 13 | 32 | $85.82 |
| Aetna | 13 | 96 | $92.95 |
| UnitedHealthcare | 13 | 117 | $89 |
| priority health op rate | 9 | 68 | $74.28 |
| u of m health plan | 8 | 14 | $65.41 |
| Humana | 8 | 8 | $56.88 |
| Medicare | 8 | 24 | $56.88 |
| Medicaid | 8 | 30 | $43.64 |
| First Health | 8 | 63 | $105.4 |
| mclaren commercial ins | 8 | 24 | $47.67 |
| priority health | 8 | 29 | $101.83 |
| hap - hmo | 8 | 8 | $64.16 |
| evernorth behavioral health | 7 | 7 | $51.26 |
| bcccnp | 6 | 6 | $87.68 |
| workers compensation | 6 | 9 | $55.65 |
| hap - hmo op rate | 5 | 50 | $54.52 |
| hp - hmo op rate | 4 | 44 | $51.13 |
| hp - ppo op rate | 4 | 44 | $70.59 |
| cofinity - auto op rate | 4 | 47 | $106.1 |
| hap preferred op rate | 4 | 43 | $77.1 |
| mclaren health op rate | 3 | 7 | $68.71 |
| cofinity - ppom op rate | 3 | 34 | $92.46 |
| hap - ppo op rate | 3 | 24 | $73.51 |
| cofinity group 15892 & 15893 | 3 | 5 | $85.44 |
| hcap op rate | 3 | 17 | $70.2 |
| mclaren health advantage op rate | 2 | 17 | $54.47 |
| health plus hmo op rate | 2 | 5 | $116.55 |
| health advantage - commercial op rate | 2 | 14 | $38.2 |
| health advantage - ppo op rate | 2 | 30 | $55.46 |
| hap ahl op rate | 2 | 5 | $106.68 |
Hospital comparison — Office visit, established patient, 20-29 minutes in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Genesys Regional Medical Ctr. | Grand Blanc | $51.26 | $218.4 | $546 |
| Ascension Borgess-Lee Hospital | Dowagiac | $51.26 | $218.4 | $546 |
| Ascension Borgess Hospital | Kalamazoo | $51.26 | $218.4 | $546 |
| Ascension Providence Rochester Hospi | Rochester | $51.26 | $218.4 | $546 |
| Ascension Standish Hospital | Standish | $51.26 | $218.4 | $546 |
| Ascension Allegan Hospital | Allegan | $51.26 | $218.4 | $546 |
| Borgess-Pipp Health Center | Plainwell | $51.26 | $218.4 | $546 |
| Mclaren Bay Special Care | Bay City | $54.52 | $56.7 | — |
| Mclaren Thumb Region | Bad Axe | $57.45 | $63.4 | $126.75 |
| Bay Regional Medical Center | Bay City | $58.59 | $63.3 | $145.6 |
| Mclaren Northern Michigan | Petoskey | $61.96 | $88.5 | $177 |
| Garden City Hospital Osteopathic | Garden City | $73.43 | — | $256 |
| Mclaren Flint | Flint | $78.63 | $85.58 | $139 |
| Ascension St John Hospital | Detroit | $79.88 | $110.63 | $299 |
| Mclaren Lapeer Region | Lapeer | $81.21 | $89 | $178 |
| Karmanos Cancer Hospital | Detroit | $82.05 | $81.4 | — |
| Mclaren Macomb | Mt. Clemens | $84.32 | $73 | — |
| Mclaren Greater Lansing | Lansing | $86.16 | $89.23 | $193 |
| Mclaren Central Michigan | Mt Pleasant | $99.8 | $88.9 | $177.8 |
| Mclaren Oakland | Pontiac | $106.8 | $85.55 | — |
| Mclaren Port Huron | Port Huron | $109.51 | $109.2 | $215.8 |
| Tawas St. Joseph Hospital | Tawas | $117.15 | $167.64 | $508 |
| Carson City Hospital | Carson City | — | $68.5 | $137 |
| North Ottawa Community Hospital | Grand Haven | — | $225.4 | $322 |
| Mh - Mercy Campus | Muskegon | — | $169.85 | $353.85 |
| Mackinac Straits Health System Inc | St. Ignace | — | $111.65 | $159.5 |
| Mckenzie Health System | Sandusky | — | $96 | $120 |
| Sparrow Clinton Hospital | St. Johns | — | $51.5 | $137 |
| Sparrow Eaton | Charlotte | — | $51.5 | $137 |