CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Mount Carmel East & West
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 0.9× the $136 Medicare rate · typically $82–$288
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $122 Cash price $282 Hospital's list price $282
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 | $83 - $282 | 61% |
| Blue Cross Blue Shieldmajor | $82 - $858 | 60% |
| Aetnamajor | $82 - $282 | 60% |
| Cignamajor | $282 - $582 | 208% |
| Humanamajor | $102 - $282 | 75% |
| Kaiser Permanentemajor | $282 | 208% |
| 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 | $198 - $282 | 146% |
| Geisinger | $282 | 208% |
| Harvard Pilgrim | $282 | 208% |
| Health Net | $282 | 208% |
| HealthLink | $282 | 208% |
| HealthPartners | $282 - $582 | 208% |
| Independent Health | $282 | 208% |
| MagnaCare | $282 | 208% |
| Medica | $282 | 208% |
| Medical Mutual | $151 - $210 | 111% |
| Meridian | $282 | 208% |
| Moda Health | $282 | 208% |
| Molina | $282 | 208% |
| MVP Health Care | $282 - $582 | 208% |
| Oscar Health | $226 - $282 | 167% |
| PacificSource | $282 | 208% |
| Paramount | $282 | 208% |
| Presbyterian | $282 | 208% |
| Priority Health | $282 - $582 | 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% |
| + 1045 smaller / regional plans | $83 - $858 |
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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Other Procedures at Mount Carmel East & West
Compare: Office visit, established patient (30-39 min) at other OH hospitals
- Uhhs Memorial Hospital of Geneva · Geneva $37
- University Hospitals Conneaut Medical Center · Conneaut $37
- Cincinnati Children's Hospital Medical Center · Cincinnati $57
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
- Lutheran Hospital · Cleveland $59
- Medina Hospital · Medina $60
- Fairview Hospital · Cleveland $61
Insurance negotiated median for the same procedure, sorted lowest first.