CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Cleveland Clinic

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $57–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
Below the fair price — a good deal
about $17 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $81 This hospital $64 Cash price $90 Hospital's list price $139

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 $64

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 (20-29 min) is about $81 (about 0.9× the $95 Medicare rate). Cleveland Clinic charges insurers about $64, or about $90 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 $32 - $358 34%
Blue Cross Blue Shieldmajor $62 - $150 65%
Aetnamajor $30 - $559 32%
Cignamajor $54 - $447 57%
Humanamajor $62 - $118 65%
AmeriHealth $37 39%
CareSource $35 - $72 37%
Devoted Health $62 65%
Molina $37 - $75 39%
Oscar Health $18 - $149 19%
Paramount $35 - $74 37%
UniCare $65 68%
UPMC Health Plan $41 - $335 43%
+ 22 smaller / regional plans $26 - $419
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals