How much does Established patient office visit, low complexity cost in Michigan?
CPT 99213 — the fair price, every hospital's price, and the Medicare benchmark for Michigan.
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
$89
57 facilities · typical range $82 – $147 · 1.0× Medicare PFS
Typical
$89
Medicare $89
$35 lowboxed = typical rangehigh $551
What Medicare paysⓘ
$89
Market typical
$89
Cash / self-pay price
$114
Prices near you — 57 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| University of Michigan Health University Hospital (Michigan Medicine, Ann Arbor) lowest | Hospital | $35cash | 0.4× | ★★★★★ hip/knee complications 4.9% |
| Henry Ford Warren Hospital (former Ascension Macomb-Oakland) | 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% |
| McLaren Bay Region (Bay City) | Hospital | $74cash | 0.8× | ★★★★★ hip/knee complications 4.2% |
| Henry Ford Providence Southfield Hospital (former Ascension Providence) | Hospital | $76cash | 0.8× | ★★★★★ hip/knee complications 4.8% |
| Henry Ford Jackson Hospital (former Allegiance Health) | Hospital | $78cash | 0.9× | ★★★★★ hip/knee complications 3.8% |
| Henry Ford Hospital (Detroit) | Hospital | $82cash | 0.9× | ★★★★★ |
| Henry Ford Macomb Hospital (Clinton Township) | Hospital | $82cash | 0.9× | ★★★★★ hip/knee complications 5.6% |
| Henry Ford Wyandotte Hospital | Hospital | $82cash | 0.9× | ★★★★★ |
| Henry Ford West Bloomfield Hospital | Hospital | $82cash | 0.9× | ★★★★★ hip/knee complications 3.3% |
| MyMichigan Medical Center Saginaw (former St. Mary's of Michigan) | Hospital | $83cash | 0.9× | ★★★★★ hip/knee complications 4.7% |
| MyMichigan Medical Center Midland | Hospital | $83cash | 0.9× | ★★★★★ hip/knee complications 2.9% |
| MyMichigan Medical Center Alpena | Hospital | $83cash | 0.9× | ★★★★★ hip/knee complications 4.1% |
| Trinity Health Grand Rapids Hospital (former Mercy Health Saint Mary's) | Hospital | $83cash | 0.9× | ★★★★★ hip/knee complications 3.4% |
| Lake Huron Medical Center (Port Huron; Prime Healthcare) | Hospital | $84negotiated | 0.9× | ★★★★★ hip/knee complications 4% |
| McLaren Oakland (Pontiac) | Hospital | $88cash | 1.0× | ★★★★★ |
| McLaren Greater Lansing | Hospital | $89cash | 1.0× | ★★★★★ hip/knee complications 3.3% |
| McLaren Northern Michigan (Petoskey) | Hospital | $89cash | 1.0× | ★★★★★ hip/knee complications 4.3% |
| Corewell Health Farmington Hills Hospital | Hospital | $93negotiated | 1.0× | ★★★★★ hip/knee complications 4% |
| Corewell Health Dearborn Hospital | Hospital | $93negotiated | 1.0× | ★★★★★ hip/knee complications 4.6% |
| Chelsea Hospital (Trinity Health / Michigan Medicine) | Hospital | $94negotiated | 1.1× | ★★★★★ hip/knee complications 3.5% |
| Trinity Health Oakland Hospital (Pontiac) | Hospital | $94negotiated | 1.1× | ★★★★★ hip/knee complications 6.7% |
| Henry Ford Genesys Hospital (Grand Blanc; former Ascension Genesys) | Hospital | $102cash | 1.1× | ★★★★★ hip/knee complications 4.3% |
| Corewell Health William Beaumont University Hospital (Royal Oak) | Hospital | $104negotiated | 1.2× | ★★★★★ hip/knee complications 4.1% |
| Corewell Health Beaumont Troy Hospital | Hospital | $104negotiated | 1.2× | ★★★★★ hip/knee complications 4.1% |
| Corewell Health Beaumont Grosse Pointe Hospital | Hospital | $105negotiated | 1.2× | ★★★★★ hip/knee complications 3.7% |
| University of Michigan Health-Sparrow Lansing (Edward W. Sparrow Hospital) | Hospital | $113cash | 1.3× | ★★★★★ |
| Corewell Health Lakeland Hospital (St. Joseph) | Hospital | $114negotiated | 1.3× | ★★★★★ hip/knee complications 3.4% |
| Corewell Health Zeeland Hospital | Hospital | $114cash | 1.3× | ★★★★★ |
| Corewell Health Butterworth Hospital (Grand Rapids) | Hospital | $114cash | 1.3× | ★★★★★ hip/knee complications 4.5% |
| Corewell Health Blodgett Hospital (East Grand Rapids; shares CCN with Butterworth) | Hospital | $114cash | 1.3× | ★★★★★ hip/knee complications 4.5% |
| Covenant HealthCare (Saginaw) | Hospital | $125cash | 1.4× | ★★★★★ hip/knee complications 4.5% |
| McLaren Port Huron | Hospital | $127cash | 1.4× | ★★★★★ hip/knee complications 4.7% |
| Holland Hospital | Hospital | $132cash | 1.5× | ★★★★★ |
| Henry Ford Rochester Hospital (former Ascension Providence Rochester) | Hospital | $138cash | 1.5× | ★★★★★ hip/knee complications 3.6% |
| Munson Medical Center (Traverse City) | Hospital | $139cash | 1.6× | ★★★★★ hip/knee complications 4.4% |
| Surgeons Choice Medical Center (Southfield) [PHYSICIAN-OWNED SURGICAL HOSPITAL] | Hospital | $154cash | 1.7× | — |
| Beacon Kalamazoo (former Ascension Borgess Medical Center) | Hospital | $171negotiated | 1.9× | ★★★★★ hip/knee complications 3.8% |
| McLaren Macomb (Mount Clemens) | Hospital | $226cash | 2.5× | ★★★★★ |
| UP Health System - Marquette | Hospital | $244cash | 2.7× | ★★★★★ hip/knee complications 4.7% |
| Trinity Health Muskegon Hospital (former Mercy Health Hackley) gross charge | Hospital | $256cash | 2.9× | ★★★★★ hip/knee complications 4.4% |
| DMC Sinai-Grace Hospital gross charge | Hospital | $281cash | 3.2× | ★★★★★ |
| DMC Detroit Receiving Hospital gross charge | Hospital | $312cash | 3.5× | ★★★★★ |
| Henry Ford Providence Novi Hospital (former Ascension Providence; shares CCN with Southfield) gross charge | Hospital | $317negotiated | 3.6× | ★★★★★ hip/knee complications 4.8% |
| University of Michigan Health-West (Wyoming) gross charge | Hospital | $328cash | 3.7× | ★★★★★ hip/knee complications 4.3% |
| McLaren Flint gross charge | Hospital | $391cash | 4.4× | ★★★★★ hip/knee complications 5.6% |
| Hurley Medical Center (Flint) gross charge | Hospital | $420cash | 4.7× | ★★★★★ |
| Trinity Health Ann Arbor Hospital gross charge | Hospital | $445cash | 5.0× | ★★★★★ hip/knee complications 3.3% |
| Bronson Methodist Hospital (Kalamazoo) gross charge | Hospital | $551cash | 6.2× | ★★★★★ hip/knee complications 4.4% |
| Bronson Battle Creek Hospital gross charge | Hospital | $551cash | 6.2× | ★★★★★ hip/knee complications 4.2% |
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. 10 unusually low/high prices excluded from the typical price as likely data errors.
See Established patient office visit, low complexity prices in another area
What should 99213 cost in Michigan?
For Established patient office visit, low complexity (CPT 99213) in Michigan, a fair self-pay price is around $89, with hospitals ranging from $82 to $147 across 57 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 Michigan?
A fair self-pay price for Established patient office visit, low complexity (CPT 99213) in Michigan is around $89, with hospital prices ranging from $82 to $147 across 57 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.
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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.