CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Southern Ohio Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 0.7× the $136 Medicare rate · typically $73–$146
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
0.7× Medicare
Medicare pays $136 Fair price $92 This hospital $92 Cash price $220 Hospital's list price $440

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 $92

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 (30-39 min) is about $92 (about 0.7× the $136 Medicare rate). Southern Ohio Medical Center charges insurers about $92, or about $220 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 $52 - $425 38%
Blue Cross Blue Shieldmajor $49 - $377 36%
Aetnamajor $110 - $372 81%
Cignamajor $136 - $401 100%
Humanamajor $67 - $411 49%
Ambetter (Centene) $92 68%
CareSource $110 81%
Medical Mutual $90 - $396 66%
Molina $67 - $169 49%
WellCare $68 - $92 50%
+ 5 smaller / regional plans $92 - $425
Excludes 3 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: 1805 27Th Street, Portsmouth, OH 45662
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals