CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: South Pointe Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 0.7× the $136 Medicare rate · typically $63–$165
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
Below the fair price — a good deal
about $32 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $100 This hospital $68 Cash price $112 Hospital's list price $173

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 $68

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 $100 (about 0.7× the $136 Medicare rate). South Pointe Hospital charges insurers about $68, or about $112 in cash — below the fair price — a good deal. Located in Warrensville 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

✓ 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 $62 - $107 46%
Blue Cross Blue Shieldmajor $68 - $138 50%
Aetnamajor $38 - $173 28%
Cignamajor $161 119%
Humanamajor $147 108%
AmeriHealth $72 53%
CareSource $70 52%
Molina $68 50%
Oscar Health $52 - $67 38%
Paramount $67 49%
UPMC Health Plan $104 77%
+ 14 smaller / regional plans $59 - $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: 20000 Harvard Road, Warrensville Heights, OH 44122
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals