CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: University of Toledo Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.8× the $95 Medicare rate · typically $60–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$61
Below the fair price — a good deal
about $17 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $78 This hospital $61

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 $61

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 $78 (about 0.8× the $95 Medicare rate). University of Toledo Medical Center charges insurers about $61 — below the fair price — a good deal. Located in Toledo, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $61 - $74 64%
Blue Cross Blue Shieldmajor $61 64%
Aetnamajor $51 - $61 54%
Humanamajor $61 64%
CareSource $61 - $68 64%
Devoted Health $61 64%
Medical Mutual $61 - $97 64%
Meridian $61 64%
Molina $65 - $68 68%
Paramount $61 - $68 64%
WellCare $61 64%
+ 6 smaller / regional plans $61 - $68
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 3000 Arlington Avenue, Toledo, OH 43614
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals