CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mount Carmel St Ann's

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$116
about 0.9× the $136 Medicare rate · typically $83–$251
modeled estimate · not a bill or quote
What this hospital charges insurers
$142
Above the fair price
about $26 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $116 This hospital $142 Cash price $282 Hospital's list price $282

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 $142

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 $116 (about 0.9× the $136 Medicare rate). Mount Carmel St Ann's charges insurers about $142, or about $282 in cash — above the fair price. Located in Westerville, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $116. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $282 208%
Blue Cross Blue Shieldmajor $142 - $282 105%
Aetnamajor $142 - $282 105%
Cignamajor $282 208%
Humanamajor $120 - $282 88%
Kaiser Permanentemajor $142 - $282 105%
Ambetter (Centene) $282 208%
AmeriHealth $282 208%
AvMed $282 208%
Bright Health $282 208%
CareSource $282 208%
Clover Health $282 208%
Dean Health Plan $282 208%
Fidelis Care $282 208%
Friday Health $282 208%
GEHA $282 208%
Geisinger $282 208%
Harvard Pilgrim $282 208%
Health Net $282 208%
HealthLink $282 208%
HealthPartners $282 208%
Independent Health $282 208%
MagnaCare $282 208%
Medica $282 208%
Medical Mutual $202 149%
Meridian $282 208%
Moda Health $282 208%
Molina $282 208%
MVP Health Care $282 208%
Oscar Health $282 208%
PacificSource $282 208%
Paramount $282 208%
Presbyterian $282 208%
Priority Health $282 208%
Providence Health Plan $282 208%
Sanford Health Plan $282 208%
Security Health Plan $282 208%
SelectHealth $282 208%
Sentara $282 208%
Tufts Health Plan $282 208%
UCare $282 208%
UniCare $282 208%
UPMC Health Plan $282 208%
WellCare $282 208%
WellMed $282 208%
WellSense $282 208%
+ 1049 smaller / regional plans $120 - $282
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.

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.

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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