CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Fairfield Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $59–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
about $7 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $81 This hospital $88 Cash price $68 Hospital's list price $151

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 $88

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 $81 (about 0.9× the $95 Medicare rate). Fairfield Medical Center charges insurers about $88, or about $68 in cash — about the fair price. Located in Lancaster, 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 $84 - $136 88%
Blue Cross Blue Shieldmajor $78 - $26,250 82%
Aetnamajor $99 - $116 104%
Cignamajor $124 - $138 130%
Humanamajor $87 - $50,000 91%
AmeriHealth $88 92%
CareSource $85 89%
Medical Mutual $68 - $33,500 71%
Molina $84 - $168 88%
Oscar Health $53 - $17,500 56%
+ 6 smaller / regional plans $88 - $167
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 401 North Ewing Street, Lancaster, OH 43130
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals