CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mount Carmel East & West

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $105
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Mount Carmel East & West is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.89x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $217 (185%)
Insurance Median: $105 (89%)
Cash: $217 (185% of Medicare)
Ins. Median: $105 (89% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Albany County Correctional Facility $42 - $61 36%
Ambetter / Centene $42 - $61 36%
Amish Mennonite $42 - $61 36%
Ascension St. Vincent Public Safety Medical $42 - $61 36%
Bcccp-Michigan $42 - $61 36%
Blue Cross Blue Shield $42 - $110 36%
Bmc Healthnet $42 - $61 36%
Breast Grant-Connecticut $42 - $61 36%
Broward County Dept Of Health $42 - $61 36%
California Health And Wellness $42 - $61 36%
Cardinal Innovations Lme $42 - $61 36%
Care Connections Of Northern Iowa $42 - $61 36%
Care Oregon Ohp $42 - $61 36%
Cencal Health Plan $42 - $61 36%
Cenpatico $42 - $61 36%
Chhuny $42 - $61 36%
Childrens Comm Health Plan $42 - $61 36%
Childrens Medical Services Title 19 $42 - $61 36%
Cigna $42 - $148 36%
City Of Philadelphia $42 - $61 36%
Cmh Allegan County $42 - $61 36%
Cmh Ausable Valley $42 - $61 36%
Cmh Barry County $42 - $61 36%
Cmh Bay-Arenac County $42 - $61 36%
Cmh Berrien County $42 - $61 36%
Cmh Cass County $42 - $61 36%
Cmh Central Mi County $42 - $61 36%
Cmh Clinton-Eaton-Ingham County $42 - $61 36%
Cmh Detroit Wayne Integrated Health Network $42 - $61 36%
Cmh Genesee County $42 - $61 36%
Cmh Ionia County $42 - $61 36%
Cmh Jackson County/Lifeways $42 - $61 36%
Cmh Kalamazoo $42 - $61 36%
Cmh Kent County $42 - $61 36%
Cmh Lenawee County $42 - $61 36%
Cmh Livingston County $42 - $61 36%
Cmh Macomb $42 - $61 36%
Cmh Misc $42 - $61 36%
Cmh Monroe County $42 - $61 36%
Cmh Montcalm County $42 - $61 36%
Cmh Muskegon County $42 - $61 36%
Cmh Newaygo County $42 - $61 36%
Cmh North Country $42 - $61 36%
Cmh Northern Lakes County $42 - $61 36%
Cmh Oakland County $42 - $61 36%
Cmh Ottawa County $42 - $61 36%
Cmh Van Buren County $42 - $61 36%
Cmh Washtenaw County $42 - $61 36%
Cmh Wayne County/Carelink $42 - $61 36%
Cmh Wayne Cty/Com Liv Svcs $42 - $61 36%
Cmh West Mi County $42 - $61 36%
Community Benefit Health $42 - $61 36%
Community Care Behavorial Health $42 - $61 36%
Community Care Partners $42 - $61 36%
Community Health Choice $42 - $61 36%
Connections Csp $42 - $61 36%
County Coroner $42 - $61 36%
County Funding Generic $42 - $61 36%
Covid19 Hrsa Uninsured Testing And Treatment Fund $42 - $61 36%
Dean Wi Badgercare $42 - $61 36%
Delaware County Department Of Health $42 - $61 36%
Delaware First Health $42 - $61 36%
Delta Dental Nj $42 - $61 36%
Dph Tb Program $42 - $61 36%
Dscc $42 - $61 36%
Eastpointe Lme $42 - $61 36%
Family Health Network $42 - $61 36%
Freedom First Healthcare $42 - $61 36%
Fresno County Ccs $42 - $61 36%
Ghc Scw Wi Badgercare $42 - $61 36%
Harbor Health $42 - $61 36%
Health Safety Net $42 - $61 36%
Healthy Blue Ne $42 - $61 36%
Hennepin Health $42 - $61 36%
Id County Ada $42 - $61 36%
Id County Canyon $42 - $61 36%
Id County Cat Fund $42 - $61 36%
Id County Other $42 - $61 36%
Id County Payette $42 - $61 36%
Idaho Dept Health And Wellfare $42 - $61 36%
Idaho Womens Health Check $42 - $61 36%
Indiana Breast Cervical Cancer $42 - $61 36%
Inland Empire Health Plan $42 - $61 36%
Intercommunity Health Ohp $42 - $61 36%
Iowa Total Care $42 - $61 36%
Jai Medical System $42 - $61 36%
Kern Family Health Plan $42 - $61 36%
Keystone First $42 - $61 36%
Keystone First Chip $42 - $61 36%
La Care Health Plan $42 - $61 36%
Lakeland Care Inc $42 - $61 36%
Managed Health Services - Indiana $42 - $61 36%
Maryland Breast & Cervical Program $42 - $61 36%
Maryland Healthy Smiles - Scion Dental $42 - $61 36%
Maryland Physicians Care $42 - $61 36%
Massachusetts Behavioral Health Partnership $42 - $61 36%
Mdwise $42 - $61 36%
Medi-Cal $42 - $61 36%
Medi-Cal Healthnet $42 - $61 36%
Medicaid / KanCare $42 - $103 36%
Medstar Dc Healthy Family $42 - $61 36%
Medstar Md Health Choice $42 - $61 36%
Mo Home State Health Plan $42 - $61 36%
Molina Centennial Care $42 - $61 36%
Nascentia Health Options $42 - $61 36%
Nebraska Total Care $42 - $61 36%
New York Cancer Services Program $42 - $61 36%
Nextlevel Health $42 - $61 36%
Oregon Screenwise $42 - $61 36%
Pace Of Southwest Michigan $42 - $110 36%
Paramount Advantage $42 - $61 36%
Parkland Community Health Plan $42 - $61 36%
Partners Behavioral Lme $42 - $61 36%
Peach State Healthplan $42 - $61 36%
Philadelphia County Funding $42 - $61 36%
Presbyterian Centennial Care $42 - $61 36%
Prestige Health Choice $42 - $61 36%
Priority Partners $42 - $61 36%
Robert F Sing Program $42 - $61 36%
Rx 340B Pass Along $42 - $61 36%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $42 - $61 36%
Rx Medi-Cal $42 - $61 36%
Rx Meridian Rx $42 - $61 36%
Ryan White Florida Mssrp $42 - $61 36%
Sandhills Center Lme $42 - $61 36%
Screening For Life $42 - $61 36%
St Joseph County Hlth Dpt $42 - $61 36%
Stephenson Cty Health $42 - $61 36%
Sunshine State Health Plan $42 - $61 36%
Superior Health $42 - $61 36%
Tenncare $42 - $61 36%
Texas Children'S Health Plan $42 - $61 36%
Trillium Community Ohp $42 - $61 36%
Tufts Health Public Plans $42 - $61 36%
Vaya Health Lme $42 - $61 36%
Washtenaw Health Plan $42 - $61 36%
Wellsense Health Plan $42 - $61 36%
Wi Womens Wellness $42 - $61 36%
UnitedHealthcare $44 - $155 37%
Aetna $45 - $154 38%
Humana $45 - $152 38%
Align Senior Care $69 - $110 59%
Ally Align Care Adv $69 - $110 59%
American Health Advantage Of Idaho $69 - $110 59%
American Health Plan $69 - $110 59%
Aurora Special Needs $69 - $110 59%
Blue Care Network Advantage $69 - $110 59%
Blue Shield - De (Highmark) Medciare Advantage $69 - $110 59%
Care Dimensions $69 - $110 59%
Care Improvement Plus $69 - $110 59%
Care Resources Pace $69 - $110 59%
Careplus Health Plans $69 - $110 59%
Cca - Zing Health $69 - $110 59%
Cca Senior Care Options $69 - $110 59%
Central Valley Medical Services Corp Pace $69 - $110 59%
Champion Health Plan Mcr Advantage $69 - $110 59%
Clear Spring Health $69 - $110 59%
Clover Health $69 - $110 59%
Commonwealth Care Alliance $69 - $110 59%
Community Pace At Home $69 - $110 59%
Eddy Senior Care-Pace $69 - $110 59%
Eddy Seniorcare Pace $69 - $110 59%
Elementcare $69 - $110 59%
Evercare $69 - $110 59%
Everence $69 - $110 59%
Gateway Health Plan $69 - $110 59%
Genesys Pace Of Genesee County $69 - $110 59%
Georgia Health Advantage $69 - $110 59%
Gold Advantage $69 - $110 59%
Gpa Croell Redi Mix $69 - $110 59%
Health America Advantra $69 - $110 59%
Highmark Health Options Dual Plan $69 - $110 59%
Hope Select Pace $69 - $110 59%
Horizon Nj Total Care $69 - $110 59%
Hudson Headwaters Pace $69 - $110 59%
Huron Valley Pace $69 - $110 59%
Innovative Integrated Health Community Plans $69 - $110 59%
Iowa Health Advantage $69 - $110 59%
Johns Hopkins Advantage Md $69 - $110 59%
Lasso Healthcare Msa $69 - $110 59%
Life St Marys Pace $69 - $110 59%
Lifecircles Pace $69 - $110 59%
Longevity Health Plan $69 - $110 59%
Longevity Ipa Of Michigan Llc Health Plan Isnp $69 - $110 59%
Martins Point Generations Advantage $69 - $110 59%
Mass General Brigham Mcr Adv $69 - $110 59%
Medicare (plans) $69 - $116 59%
Medipak Advantage $69 - $110 59%
Mercy Life $69 - $110 59%
Mercyone Cedar Valley $69 - $110 59%
Meridian Complete $69 - $110 59%
Michigan Complete Health $69 - $110 59%
Nascentia Health Plus $69 - $110 59%
New Centry Health Careplus $69 - $110 59%
Osu Prime Care Advantage $69 - $110 59%
Pace Cny $69 - $110 59%
Pace Iowa Immanuel Pathways $69 - $110 59%
Pace Southeast $69 - $110 59%
Pace-Trinity Health $69 - $110 59%
Peak Pace Solutions $69 - $110 59%
Perennial Advantage $69 - $110 59%
Preferred Care Partners $69 - $110 59%
Presbyterian Senior Plan $69 - $110 59%
Provider Partners Health Plan Of Illinois $69 - $110 59%
Provider Partners Health Plan Of Indiana $69 - $110 59%
Pruitthealth Premier $69 - $110 59%
Reliance Community Care Partners Care Resources Pace $69 - $110 59%
Rx Allwin $69 - $110 59%
Rx Grane Grnmedd $69 - $110 59%
Rx Retiree Rx Care $69 - $110 59%
Scan Health Plan Mcr Ipa Meritage Oon $69 - $110 59%
Secure Horizons Ma Pffs $69 - $110 59%
Serenity Pace $69 - $110 59%
Siouxland Pace $69 - $110 59%
Solis Health Plans $69 - $110 59%
Sunnyview-Pace Finance Dept $69 - $110 59%
Texan Plus $69 - $110 59%
The Health Plan $69 - $110 59%
Thome Pace $69 - $110 59%
Todays Options $69 - $110 59%
Tribute Health Plans $69 - $110 59%
Um Health Advantage $69 - $110 59%
Union Health Service $69 - $110 59%
Welbe Health $69 - $110 59%
Wellmed $69 - $110 59%
Bccp $70 - $112 60%
Veterans Administration $70 - $112 60%
Champva $77 - $105 65%
Luminare Health (Detroit) $77 - $124 65%
Tricare $77 - $105 65%
Triwest Health Alliance $77 - $105 65%
Us Family Health Plan $77 - $105 65%
Veterans Eval Services $77 - $105 65%
Medben $92 - $146 78%
Ohio Health Choice $92 - $146 78%
Multiplan $95 - $152 81%
Phcs $95 - $152 81%
Custom Design Benefits $99 - $158 84%
Health Ohio Network $99 - $158 84%
Oscar $99 - $134 84%
Health Smart $106 - $169 90%
Geha $112 - $155 95%
Andrie Inc $114 - $154 97%
East Greenbush Central School District $114 - $154 97%
Genex Wc $114 - $154 97%
Healthsmart Workers Comp $114 - $154 97%
Jag Source $114 - $154 97%
New York State Insurance Fund $114 - $154 97%
Njm Insurance Group $114 - $154 97%
Rx Heatlhcomp $114 - $154 97%
Rx Restat $114 - $154 97%
Rx Saif Opdp Wc $114 - $154 97%
Rx Worker'S Comp $114 - $154 97%
Wc Accident Fund $114 - $154 97%
Wc Ace $114 - $154 97%
Wc Acs Federal Employees $114 - $154 97%
Wc Acuity $114 - $154 97%
Wc Advantage $114 - $154 97%
Wc Aegis $114 - $154 97%
Wc Aig $114 - $154 97%
Wc Aims $114 - $154 97%
Wc Alaska National Ins $114 - $154 97%
Wc Align Network $114 - $154 97%
Wc Allied $114 - $154 97%
Wc Am Trust N America $114 - $154 97%
Wc American Claims Mgmt $114 - $154 97%
Wc Amerisure $114 - $154 97%
Wc Amtrust $114 - $154 97%
Wc Asu Risk Mgt $114 - $154 97%
Wc Benetech $114 - $154 97%
Wc Berkley Admin $114 - $154 97%
Wc Broadspire $114 - $154 97%
Wc Broward County $114 - $154 97%
Wc Bunch & Associates $114 - $154 97%
Wc California State Comp Ins $114 - $154 97%
Wc California State Ins Fund $114 - $154 97%
Wc Capitol Area Health Consortium $114 - $154 97%
Wc Ccmsi $114 - $154 97%
Wc Chartis $114 - $154 97%
Wc Chubb $114 - $154 97%
Wc Cirma $114 - $154 97%
Wc City Of Albany $114 - $154 97%
Wc City Of Sioux City $114 - $154 97%
Wc Claims Mgmt Inc $114 - $154 97%
Wc Cna $114 - $154 97%
Wc Comp One Admin C/O Manageability $114 - $154 97%
Wc Compone Admin $114 - $154 97%
Wc Corvel $114 - $154 97%
Wc Ct Healthcare Trust $114 - $154 97%
Wc Donegal Insurance Group $114 - $154 97%
Wc Emc Insurance Company $114 - $154 97%
Wc Employee Mutual $114 - $154 97%
Wc Enablecomp $114 - $154 97%
Wc Encore Health Network $114 - $154 97%
Wc Erie $114 - $154 97%
Wc Esis $114 - $154 97%
Wc Evolutions $114 - $154 97%
Wc Fcci $114 - $154 97%
Wc Fed Ex $114 - $154 97%
Wc Federal Black Lung $114 - $154 97%
Wc Federated $114 - $154 97%
Wc Finley Occupational Health $114 - $154 97%
Wc First Agency/Occunet $114 - $154 97%
Wc Ford Motor $114 - $154 97%
Wc Fresno Unified Emp $114 - $154 97%
Wc Gallagher Bassett $114 - $154 97%
Wc General Motors $114 - $154 97%
Wc Generic $114 - $154 97%
Wc Genex Care For Ohio $114 - $154 97%
Wc Great West Casualty $114 - $154 97%
Wc Guarantee Insurance $114 - $154 97%
Wc Guard Insurance Company $114 - $154 97%
Wc Hab $114 - $154 97%
Wc Hartford $114 - $154 97%
Wc Hastings $114 - $154 97%
Wc Health Management $114 - $154 97%
Wc Heritage Summit $114 - $154 97%
Wc Hireright $114 - $154 97%
Wc Horizon $114 - $154 97%
Wc Icw Group $114 - $154 97%
Wc Idaho State Ins Fund $114 - $154 97%
Wc Intercare Insurance $114 - $154 97%
Wc Intermountain $114 - $154 97%
Wc Johns Eastern $114 - $154 97%
Wc Kemberton $114 - $154 97%
Wc Key Ins & Benefit Solutions $114 - $154 97%
Wc Liberty Mutual $114 - $154 97%
Wc Mac Risk Management $114 - $154 97%
Wc Massachusetts $114 - $154 97%
Wc Mdia $114 - $154 97%
Wc Meadowbrook Claim $114 - $154 97%
Wc Medical Administrators $114 - $154 97%
Wc Meijers $114 - $154 97%
Wc Memic $114 - $154 97%
Wc Mercy Workcare $114 - $154 97%
Wc Michigan $114 - $154 97%
Wc Michigan Millers Mutual $114 - $154 97%
Wc Mitchell Frankenmuth $114 - $154 97%
Wc Mra $114 - $154 97%
Wc Nationwide $114 - $154 97%
Wc Nca Comp $114 - $154 97%
Wc New York $114 - $154 97%
Wc New York Special Funds $114 - $154 97%
Wc North American Rishces $114 - $154 97%
Wc Northeast Health $114 - $154 97%
Wc Notre Dame $114 - $154 97%
Wc Novanet $114 - $154 97%
Wc O'Hara Corp $114 - $154 97%
Wc Occ Health Allen $114 - $154 97%
Wc Ohio Bureau $114 - $154 97%
Wc One Call Medical $114 - $154 97%
Wc Paradigm $114 - $154 97%
Wc Peerless $114 - $154 97%
Wc Pma $114 - $154 97%
Wc Praxis Health Network $114 - $154 97%
Wc Price Chopper $114 - $154 97%
Wc Procura Management $114 - $154 97%
Wc Qualcare $114 - $154 97%
Wc Quiktrip $114 - $154 97%
Wc Reny Company $114 - $154 97%
Wc Rev Claims $114 - $154 97%
Wc Risico $114 - $154 97%
Wc Rural Mutual $114 - $154 97%
Wc Saif Oregon $114 - $154 97%
Wc Secura $114 - $154 97%
Wc Sedgwick $114 - $154 97%
Wc Sentry $114 - $154 97%
Wc Sheakley Unicomp $114 - $154 97%
Wc Smile Lodge $114 - $154 97%
Wc Society $114 - $154 97%
Wc Srs $114 - $154 97%
Wc Taconic (Mro) $114 - $154 97%
Wc Taconic Farms $114 - $154 97%
Wc Travelers $114 - $154 97%
Wc Triad Group $114 - $154 97%
Wc Tristar $114 - $154 97%
Wc Troy Ny $114 - $154 97%
Wc Tyson $114 - $154 97%
Wc Unified Health Services $114 - $154 97%
Wc United Heartland $114 - $154 97%
Wc Us Dept Of Labor $114 - $154 97%
Wc Velocity $114 - $154 97%
Wc Walmart $114 - $154 97%
Wc West Bend $114 - $154 97%
Wc West Bend Mutual/Argent $114 - $154 97%
Wc Winnebago Industries $114 - $154 97%
Wc Yankee Trails $114 - $154 97%
Wc York Risk $114 - $154 97%
Wc Zenith $114 - $154 97%
Wc Zurich $114 - $154 97%
Quality Care Partners $116 - $146 99%
Health Design $146 - $150 124%
Ameriben $150 - $152 128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6001 East Broad Street, Columbus, OH 43213
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals