CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Lutheran Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.7× the $118 Medicare rate · typically $61–$146
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
Below the fair price — a good deal
about $29 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $88 This hospital $59 Cash price $84 Hospital's list price $129

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $58 Priciest $68

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $88 (about 0.7× the $118 Medicare rate). Lutheran Hospital charges insurers about $59, or about $84 in cash — below the fair price — a good deal. Located in Cleveland, 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 $53 - $80 45%
Blue Cross Blue Shieldmajor $59 - $103 50%
Aetnamajor $28 - $129 24%
Cignamajor $141 120%
Humanamajor $110 94%
AmeriHealth $62 53%
CareSource $60 51%
Molina $59 50%
Oscar Health $39 - $50 33%
Paramount $58 49%
UPMC Health Plan $77 65%
+ 17 smaller / regional plans $39 - $116
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: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals