CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Union Hospital

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–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
Below the fair price — a good deal
about $13 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $76 This hospital $63 Cash price $90 Hospital's list price $139

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 $63

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). Union Hospital charges insurers about $63, or about $90 in cash — below the fair price — a good deal. Located in Dover, 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 $36 - $120 38%
Blue Cross Blue Shieldmajor $62 - $116 65%
Aetnamajor $19 - $559 20%
Cignamajor $62 - $105 65%
Humanamajor $62 65%
AmeriHealth $37 - $66 39%
CareSource $35 - $60 37%
Molina $34 - $63 36%
Oscar Health $18 - $149 19%
UniCare $65 68%
UPMC Health Plan $15 - $335 16%
+ 18 smaller / regional plans $10 - $419
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: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals