CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 0.8× the $95 Medicare rate · typically $57–$115
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
Above the fair price
about $38 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $76 This hospital $114 Cash price $203 Hospital's list price $270

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $114

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $76 (about 0.8× the $95 Medicare rate). University Hospitals Samaritan Medical Center charges insurers about $114, or about $203 in cash — above the fair price. Located in Ashland, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $76. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $114 - $249 120%
Blue Cross Blue Shieldmajor $114 - $244 120%
Aetnamajor $114 - $232 120%
Cignamajor $114 - $249 120%
Humanamajor $114 120%
Ambetter (Centene) $206 216%
CareSource $206 216%
Devoted Health $114 120%
Health Net $230 242%
Medical Mutual $96 - $268 101%
Molina $114 120%
Paramount $118 124%
WellCare $114 120%
+ 18 smaller / regional plans $114 - $246
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals