CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Lutheran Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.7× the $136 Medicare rate · typically $62–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
Below the fair price — a good deal
about $40 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $99 This hospital $59 Cash price $112 Hospital's list price $173

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OH hospitals compared.

Cheapest $37 Priciest $62

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 $99 (about 0.7× the $136 Medicare rate). Lutheran Hospital charges insurers about $59, or about $112 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 - $107 39%
Blue Cross Blue Shieldmajor $59 - $138 44%
Aetnamajor $38 - $173 28%
Cignamajor $161 119%
Humanamajor $147 108%
AmeriHealth $62 46%
CareSource $60 44%
Molina $59 44%
Oscar Health $52 - $67 38%
Paramount $58 43%
UPMC Health Plan $104 77%
+ 17 smaller / regional plans $52 - $156
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