CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Ohio State University State Health System

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $60–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $81 This hospital $82 Hospital's list price $229

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 $82

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). Ohio State University State Health System charges insurers about $82 — about the fair price. Located in Columbus, 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 $304 319%
Blue Cross Blue Shieldmajor $200 - $223 210%
Aetnamajor $147 - $213 154%
Cignamajor $126 132%
Humanamajor $105 110%
+ 8 smaller / regional plans $64 - $172
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals