CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: University of Toledo Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$102
about 0.8× the $136 Medicare rate · typically $83–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
Below the fair price — a good deal
about $11 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $102 This hospital $91

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 $91

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 (30-39 min) is about $102 (about 0.8× the $136 Medicare rate). University of Toledo Medical Center charges insurers about $91 — 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 $91 - $109 67%
Blue Cross Blue Shieldmajor $91 67%
Aetnamajor $76 - $91 56%
Humanamajor $91 67%
CareSource $91 - $100 67%
Devoted Health $91 67%
Medical Mutual $91 - $143 67%
Meridian $91 67%
Molina $95 - $100 70%
Paramount $91 - $100 67%
WellCare $91 67%
+ 6 smaller / regional plans $91 - $100
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