How much does office visit, established, level 3 cost in Utah?

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

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99213 Office visit, established, level 3
Ask to pay
$178
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
What Medicare paysⓘ
$89
Typical price near you
$285
Cash / self-pay price
$285
Prices near you — 32 facilities, lowest first
FacilityTypePricevs MedicareQuality
Holy Cross Hospital - Mountain Point (Lehi) lowest Hospital $61negotiated 0.7× —
Holy Cross Hospital - Davis (Layton) Hospital $61negotiated 0.7× ★★★★★
Holy Cross Hospital - Jordan Valley (West Jordan) Hospital $61negotiated 0.7× ★★★★★
Holy Cross Hospital - Salt Lake (Salt Lake City) Hospital $61negotiated 0.7× ★★★★★
Moab Regional Hospital (Moab) Hospital $85cash 1.0× —
San Juan Hospital (Monticello) Hospital $127cash 1.4× —
University of Utah Hospital & Huntsman Cancer (Salt Lake City) Hospital $136cash 1.5× ★★★★★
Intermountain Park City Hospital (Park City) Hospital $152cash 1.7× ★★★★★
Kane County Hospital (Kanab) Hospital $174negotiated 2.0× —
Blue Mountain Hospital (Blanding) Hospital $189cash 2.1× —
Ashley Regional Medical Center (Vernal) Hospital $244cash 2.7× ★★★★★
Intermountain Alta View Hospital (Sandy) Hospital $251cash 2.8× ★★★★★
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. 2 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
  • For 99213 (Office visit, established, level 3), Medicare's benchmark rate is $88.95. A fair self-pay target for this line is $177.90. If I was charged more than that, please reduce it toward this benchmark.
  • Your own published cash / self-pay price for 99213 is $285.28, and negotiated rates at nearby facilities run $157.72–$385.97. Please apply a rate in that range to my bill rather than the gross charge.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See office visit, established, level 3 prices in another area
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What should 99213 cost in Utah?

For office visit, established, level 3 (CPT 99213) in Utah, a fair self-pay price is around $285, with hospitals ranging from $158 to $386 across 32 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 office visit, established, level 3 cost in Utah?

A fair self-pay price for office visit, established, level 3 (CPT 99213) in Utah is around $285, with hospital prices ranging from $158 to $386 across 32 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 99213?

Medicare pays about $89 for office visit, established, level 3 (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 office visit, established, level 3?

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.