How much does Established patient office visit, low complexity cost in detroit?

CPT 99213 — the fair price, every hospital's price, and the Medicare benchmark for detroit.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99213 Established patient office visit, low complexity
Market typical price
$82
29 facilities · typical range $72 – $116 · 0.9× Medicare PFS
What Medicare paysⓘ
$89
Market typical
$82
Cash / self-pay price
$85
Prices near you — 29 facilities, lowest first
FacilityTypePricevs MedicareQuality
Henry Ford Warren Hospital (former Ascension Macomb-Oakland) lowest Hospital $45cash 0.5× ★★★★★
hip/knee complications 3.5%
Henry Ford St. John Hospital (Detroit; former Ascension St. John) Hospital $45cash 0.5× ★★★★★
hip/knee complications 3.8%
DMC Huron Valley-Sinai Hospital (Commerce Township) Hospital $46negotiated 0.5× ★★★★★
hip/knee complications 5%
Trinity Health Livingston Hospital (Howell) Hospital $47negotiated 0.5× ★★★★★
hip/knee complications 3.5%
DMC Harper University Hospital Hospital $56negotiated 0.6× ★★★★★
hip/knee complications 3.3%
Trinity Health Livonia Hospital Hospital $58negotiated 0.7× ★★★★★
hip/knee complications 4.6%
Corewell Health Wayne Hospital Hospital $72negotiated 0.8× ★★★★★
Corewell Health Trenton Hospital Hospital $72negotiated 0.8× ★★★★★
Corewell Health Taylor Hospital Hospital $72negotiated 0.8× ★★★★★
hip/knee complications 3.7%
Henry Ford Providence Southfield Hospital (former Ascension Providence) Hospital $76cash 0.8× ★★★★★
hip/knee complications 4.8%
Henry Ford Hospital (Detroit) Hospital $82cash 0.9× ★★★★★
Henry Ford Macomb Hospital (Clinton Township) Hospital $82cash 0.9× ★★★★★
hip/knee complications 5.6%
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 4 unusually low/high prices excluded from the typical price as likely data errors.
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What should 99213 cost in detroit?

For Established patient office visit, low complexity (CPT 99213) in detroit, a fair self-pay price is around $82, with hospitals ranging from $72 to $116 across 29 facilities. Medicare's benchmark rate is $89, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does Established patient office visit, low complexity cost in detroit?

A fair self-pay price for Established patient office visit, low complexity (CPT 99213) in detroit is around $82, with hospital prices ranging from $72 to $116 across 29 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 99213?

Medicare pays about $89 for Established patient office visit, low complexity (CPT 99213). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.

Can I negotiate the price of Established patient office visit, low complexity?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.

Compare other procedures in detroit

Total knee replacement (arthroplasty)Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCMajor hip/knee joint replacement, inpatient, w/ MCC

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.