CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Genesis Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.9× the $95 Medicare rate · typically $62–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$122
Above the fair price
about $37 over the fair price · 1.3× Medicare
Medicare pays $95 Fair price $85 This hospital $122 Cash price $315 Hospital's list price $524

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 $122

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 (20-29 min) is about $85 (about 0.9× the $95 Medicare rate). Genesis Hospital charges insurers about $122, or about $315 in cash — above the fair price. Located in Zanesville, 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 $85. 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 $57 - $199 60%
Blue Cross Blue Shieldmajor $58 - $697 61%
Aetnamajor $57 - $216 60%
Cignamajor $805 846%
Humanamajor $57 - $139 60%
CareSource $222 233%
HealthPartners $805 846%
Medical Mutual $162 170%
Molina $91 - $121 96%
UniCare $57 60%
UPMC Health Plan $204 214%
WellCare $57 - $139 60%
+ 94 smaller / regional plans $57 - $805
Government programs also on file: Medicare, Military & VA.
Excludes 12 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2951 Maple Avenue, Zanesville, OH 43701
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals