CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Cleveland Clinic

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.7× the $136 Medicare rate · typically $68–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $9 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $101 This hospital $92 Cash price $224 Hospital's list price $344

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 $92

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 $101 (about 0.7× the $136 Medicare rate). Cleveland Clinic charges insurers about $92, or about $224 in cash — about the fair price. 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 $47 - $529 35%
Blue Cross Blue Shieldmajor $75 - $217 55%
Aetnamajor $38 - $826 28%
Cignamajor $85 - $661 63%
Humanamajor $92 - $147 68%
AmeriHealth $54 40%
CareSource $52 - $72 38%
Devoted Health $92 68%
Molina $54 - $75 40%
Oscar Health $28 - $220 21%
Paramount $51 - $74 38%
UniCare $96 71%
UPMC Health Plan $64 - $496 47%
+ 22 smaller / regional plans $41 - $620
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