CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Southern Ohio Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.7× the $118 Medicare rate · typically $69–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$79
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $80 This hospital $79 Cash price $225 Hospital's list price $450

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 $58 Priciest $79

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

A fair price for a New patient office visit (30-44 min) is about $80 (about 0.7× the $118 Medicare rate). Southern Ohio Medical Center charges insurers about $79, or about $225 in cash — about the fair price. Located in Portsmouth, OH.

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 $44 - $27,517 37%
Blue Cross Blue Shieldmajor $42 - $385 36%
Aetnamajor $108 - $380 92%
Cignamajor $139 - $409 118%
Humanamajor $79 - $419 67%
Ambetter (Centene) $77 65%
CareSource $93 79%
Medical Mutual $77 - $404 65%
Molina $77 - $173 65%
WellCare $77 - $80 65%
+ 5 smaller / regional plans $77 - $434
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1805 27Th Street, Portsmouth, OH 45662
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals