CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Christ Hospital
Billing Code: 99213 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99213
- Insurance Median: $83
- Cash Discount Price: $66
- vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Christ Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 0.87x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.
Cash / Self-Pay
$66
Average discount available for prompt cash payment at this facility.
Insurance Median
$83
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$95.19
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $95.19 (100%)
Cash / Self-Pay: $66 (69%)
Insurance Median: $83 (87%)
Cash: $66 (69% of Medicare)
Ins. Median: $83 (87% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $42 - $175 | 44% |
| Caresource [2031] | $42 - $175 | 44% |
| Humana | $42 - $292 | 44% |
| Medicaid / KanCare | $42 - $175 | 44% |
| Aetna | $62 - $175 | 65% |
| Allied Benefits [2163] | $62 - $119 | 65% |
| Ambetter / Centene | $62 - $148 | 65% |
| Amerihealth Caritas [2230] | $62 - $175 | 65% |
| Buckeye Community Health [2028] | $62 - $175 | 65% |
| Cigna | $62 - $292 | 65% |
| Custom Design Benefits - True Cost [3004] | $62 - $127 | 65% |
| Geha [2268] | $62 - $84 | 65% |
| Medben [2222] | $62 - $180 | 65% |
| Medical Mutual [2054] | $62 - $351 | 65% |
| Medicare (plans) | $62 - $125 | 65% |
| Medigold Ppo [2204] | $62 - $121 | 65% |
| Meritain Health [2224] | $62 - $119 | 65% |
| Multiplan/Phcs [2059] | $62 - $213 | 65% |
| Other Exchange Plan [9992] | $62 - $292 | 65% |
| Other Workers Compensation [9999] | $62 - $84 | 65% |
| Other [9990] | $62 - $89 | 65% |
| Perennial [4200] | $62 - $127 | 65% |
| Tricare | $62 - $89 | 65% |
| United Medical Resources [2104] | $62 - $204 | 65% |
| UnitedHealthcare | $62 - $292 | 65% |
| Wellcare Of Kentucky [2191] | $62 - $84 | 65% |
| Western And Southern [2076] | $62 - $351 | 65% |
| Aarp [2020] | $73 - $83 | 77% |
| Apwu [2170] | $73 - $84 | 77% |
| Buckeye Mycare Dual [2171] | $73 - $121 | 77% |
| Champva [2034] | $73 - $84 | 77% |
| Devoted Health Plans Oon [2250] | $73 - $84 | 77% |
| First Health [2041] | $73 - $119 | 77% |
| Geha [2168] | $73 - $204 | 77% |
| Golden Rule [2161] | $73 - $204 | 77% |
| Healthcare Highways [2298] | $73 - $292 | 77% |
| Kentucky Passport/Molina [2097] | $73 - $84 | 77% |
| Key Benefit Administrators [2221] | $73 - $84 | 77% |
| Oon Molina Exchange [2188] | $73 - $84 | 77% |
| Oon Oscar [2256] | $73 - $84 | 77% |
| Other Managed Care [9991] | $73 - $84 | 77% |
| Other Supplement [9995] | $73 - $76 | 77% |
| Payer Compass/Acs [3997] | $73 - $83 | 77% |
| Poppins Health [2299] | $73 - $154 | 77% |
| Priority Health [2225] | $73 - $155 | 77% |
| Suburban Health [2408] | $73 - $292 | 77% |
| Trustmark [2219] | $73 - $84 | 77% |
| Umwa [2105] | $73 - $83 | 77% |
| Wc Corvel [2117] | $73 - $83 | 77% |
| Wc Sedgwick [3078] | $73 - $84 | 77% |
| Wc Self [2128] | $73 - $83 | 77% |
| Wc Sheakley Unicomp [2129] | $73 - $84 | 77% |
| Wc Tch Employee [2114] | $73 - $84 | 77% |
| Wc Three Hab [2130] | $73 - $83 | 77% |
| Bccp [3079] | $76 - $292 | 80% |
| Nalc [2178] | $76 - $155 | 80% |
| Ohio Health Choice [2062] | $76 - $140 | 80% |
| Siho [2186] | $76 | 80% |
| Americas Choice Healthplan [2215] | $83 | 87% |
| Auto Liab [2087] | $83 - $89 | 87% |
| Bankers Life [2006] | $83 | 87% |
| Center Of Excellence [2180] | $83 | 87% |
| Wc Dept Of Labor [2165] | $83 | 87% |
| Wc Kentucky [2123] | $83 | 87% |
| Meridian [2185] | $119 - $121 | 125% |
| Life Synch [2080] | $175 | 184% |
| Sagamore Health Network [2066] | $292 | 307% |