CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Adena Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$116
about 0.9× the $136 Medicare rate · typically $88–$156
modeled estimate · not a bill or quote
What this hospital charges insurers
$124
About the fair price
about $8 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $116 This hospital $124 Cash price $82 Hospital's list price $165

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 $124

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 $116 (about 0.9× the $136 Medicare rate). Adena Regional Medical Center charges insurers about $124, or about $82 in cash — about the fair price. Located in Chillicothe, 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 $119 - $123 88%
Blue Cross Blue Shieldmajor $75 - $105 55%
Aetnamajor $118 - $123 87%
Cignamajor $59 - $102 44%
Humanamajor $123 - $157 91%
Medical Mutual $75 - $129 55%
Molina $123 - $203 91%
+ 9 smaller / regional plans $115 - $338
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 272 Hospital Road, Chillicothe, OH 45601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals