CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mount Carmel St Ann's

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 0.9× the $95 Medicare rate · typically $59–$204
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $87 This hospital $85 Cash price $149 Hospital's list price $175

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 $85

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 $87 (about 0.9× the $95 Medicare rate). Mount Carmel St Ann's charges insurers about $85, or about $149 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 $56 - $200 59%
Blue Cross Blue Shieldmajor $55 - $200 58%
Aetnamajor $55 - $200 58%
Cignamajor $149 - $200 157%
Humanamajor $62 - $200 65%
Kaiser Permanentemajor $149 - $200 157%
Ambetter (Centene) $149 - $200 157%
AmeriHealth $149 - $200 157%
AvMed $149 - $200 157%
Bright Health $149 - $200 157%
CareSource $149 - $200 157%
Clover Health $149 - $200 157%
Dean Health Plan $149 - $200 157%
Fidelis Care $149 - $200 157%
Friday Health $149 - $200 157%
GEHA $149 - $200 157%
Geisinger $149 - $200 157%
Harvard Pilgrim $149 - $200 157%
Health Net $149 - $200 157%
HealthLink $149 - $200 157%
HealthPartners $149 - $200 157%
Independent Health $149 - $200 157%
MagnaCare $149 - $200 157%
Medica $149 - $200 157%
Medical Mutual $103 - $149 108%
Meridian $149 - $200 157%
Moda Health $149 - $200 157%
Molina $149 - $200 157%
MVP Health Care $149 - $200 157%
Oscar Health $149 - $212 157%
PacificSource $149 - $200 157%
Paramount $149 - $200 157%
Presbyterian $149 - $200 157%
Priority Health $149 - $200 157%
Providence Health Plan $149 - $200 157%
Sanford Health Plan $149 - $200 157%
Security Health Plan $149 - $200 157%
SelectHealth $149 - $200 157%
Sentara $149 - $200 157%
Tufts Health Plan $149 - $200 157%
UCare $149 - $200 157%
UniCare $149 - $200 157%
UPMC Health Plan $149 - $200 157%
WellCare $149 - $200 157%
WellMed $149 - $200 157%
WellSense $149 - $200 157%
+ 1044 smaller / regional plans $57 - $632
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