Office visit, established patient (30-39 min)
Facility: Marymount Hospital
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $59 compared to the $103 fair price benchmark.
5-Star CMS clinical quality rating paired with 0.57× fair market pricing.
A typical price — 3 charge more and 3 charge less, among the 9 OH hospitals compared.
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 $103 (about 0.8× the $136 Medicare rate). Marymount Hospital charges insurers about $59, or about $122 in cash — below the fair price — a good deal. Located in Garfield Heights, 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
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 - $106 | 39% |
| Blue Cross Blue Shieldmajor | $59 - $184 | 44% |
| Aetnamajor | $41 - $187 | 30% |
| Cignamajor | $161 | 119% |
| Humanamajor | $159 | 117% |
| AmeriHealth | $61 | 45% |
| CareSource | $60 | 44% |
| Devoted Health | $122 | 90% |
| Molina | $59 | 44% |
| Oscar Health | $53 - $67 | 39% |
| Paramount | $57 | 42% |
| UPMC Health Plan | $112 | 83% |
| + 17 smaller / regional plans | $56 - $168 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Marymount Hospital
Compare: Office visit, established patient (30-39 min) at other OH hospitals
- Uhhs Memorial Hospital of Geneva · Geneva $37
- University Hospitals Conneaut Medical Center · Conneaut $42
- Cincinnati Children's Hospital Medical Center · Cincinnati $57
- Lutheran Hospital · Cleveland $59
- Cleveland Clinic Avon Hospital · Avon $59
- Medina Hospital · Medina $61
- Fairview Hospital · Cleveland $62
- Hillcrest Hospital · Mayfield Heights $65
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Marymount Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $68
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $68).
Self-Pay Cash Rate ($122) Beats Your Bill
Marymount Hospital's published 45 CFR § 180 self-pay cash rate is $122 (vs. $59 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $103 Fair BaseRate ($136 Medicare)
Your bill ($187) is $84 above the denoised Fair BaseRate ($103) and 1.4× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.