CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Hillcrest Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.8× the $95 Medicare rate · typically $56–$128
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Below the fair price — a good deal
about $18 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $80 This hospital $62 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 $62

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 $80 (about 0.8× the $95 Medicare rate). Hillcrest Hospital charges insurers about $62, or about $90 in cash — below the fair price — a good deal. Located in Mayfield Heights, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $58 - $86 61%
Blue Cross Blue Shieldmajor $26 - $89 27%
Aetnamajor $30 - $139 32%
Humanamajor $118 124%
AmeriHealth $67 70%
CareSource $66 69%
Molina $64 67%
Oscar Health $42 - $53 44%
Paramount $63 66%
UPMC Health Plan $83 87%
+ 15 smaller / regional plans $42 - $125
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: 6780 Mayfield Road, Mayfield Heights, OH 44124
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals