CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mount Carmel East & West

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$79
about 0.7× the $118 Medicare rate · typically $49–$236
modeled estimate · not a bill or quote
What this hospital charges insurers
$110
Above the fair price
about $31 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $79 This hospital $110 Cash price $217 Hospital's list price $217

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 $110

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 $79 (about 0.7× the $118 Medicare rate). Mount Carmel East & West charges insurers about $110, or about $217 in cash — above the fair price. Located in Columbus, 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 $79. 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.

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 $44 - $155 37%
Blue Cross Blue Shieldmajor $42 - $110 36%
Aetnamajor $45 - $154 38%
Cignamajor $42 - $148 36%
Humanamajor $45 - $152 38%
Ambetter (Centene) $42 - $61 36%
Clover Health $69 - $110 59%
GEHA $112 - $155 95%
Health Net $42 - $154 36%
HealthPartners $42 - $61 36%
Meridian $42 - $110 36%
Molina $42 - $61 36%
Oscar Health $99 - $134 84%
Paramount $42 - $61 36%
Presbyterian $42 - $110 36%
Tufts Health Plan $42 - $61 36%
WellMed $69 - $110 59%
WellSense $42 - $61 36%
+ 336 smaller / regional plans $42 - $169
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 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: 6001 East Broad Street, Columbus, OH 43213
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals