CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mount Carmel St Ann's

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.8× the $118 Medicare rate · typically $74–$223
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
About the fair price
about $3 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $94 This hospital $91 Cash price $218 Hospital's list price $218

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 $91

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 $94 (about 0.8× the $118 Medicare rate). Mount Carmel St Ann's charges insurers about $91, or about $218 in cash — about the fair price. Located in Westerville, OH.

What each insurance company pays

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

6 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 $187 - $248 159%
Blue Cross Blue Shieldmajor $187 - $248 159%
Aetnamajor $187 - $248 159%
Cignamajor $187 - $248 159%
Humanamajor $77 - $248 65%
Kaiser Permanentemajor $187 - $248 159%
Ambetter (Centene) $187 - $248 159%
AmeriHealth $187 - $248 159%
AvMed $187 - $248 159%
Bright Health $187 - $248 159%
CareSource $187 - $248 159%
Clover Health $187 - $248 159%
Dean Health Plan $187 - $248 159%
Fidelis Care $187 - $248 159%
Friday Health $187 - $248 159%
GEHA $187 - $248 159%
Geisinger $187 - $248 159%
Harvard Pilgrim $187 - $248 159%
Health Net $187 - $248 159%
HealthLink $187 - $248 159%
HealthPartners $187 - $248 159%
Independent Health $187 - $248 159%
MagnaCare $187 - $248 159%
Medica $187 - $248 159%
Meridian $187 - $248 159%
Moda Health $187 - $248 159%
Molina $187 - $248 159%
MVP Health Care $187 - $248 159%
Oscar Health $187 - $248 159%
PacificSource $187 - $248 159%
Paramount $187 - $248 159%
Presbyterian $187 - $248 159%
Priority Health $187 - $248 159%
Providence Health Plan $187 - $248 159%
Sanford Health Plan $187 - $248 159%
Security Health Plan $187 - $248 159%
SelectHealth $187 - $248 159%
Sentara $187 - $248 159%
Tufts Health Plan $187 - $248 159%
UCare $187 - $248 159%
UniCare $187 - $248 159%
UPMC Health Plan $187 - $248 159%
WellCare $187 - $248 159%
WellMed $187 - $248 159%
WellSense $187 - $248 159%
+ 1044 smaller / regional plans $77 - $248
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals