CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Wooster Community Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 0.8× the $118 Medicare rate · typically $68–$128
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
Below the fair price — a good deal
about $23 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $93 This hospital $70 Cash price $187 Hospital's list price $187

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 $70

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 $93 (about 0.8× the $118 Medicare rate). Wooster Community Hospital charges insurers about $70, or about $187 in cash — below the fair price — a good deal. Located in Wooster, OH.

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 $60 - $182 51%
Blue Cross Blue Shieldmajor $62 - $177 53%
Aetnamajor $63 - $192 54%
Cignamajor $141 - $154 120%
Humanamajor $70 - $180 60%
AmeriHealth $63 54%
CareSource $60 - $101 51%
Molina $61 - $120 52%
+ 31 smaller / regional plans $60 - $184
Government programs also on file: Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals