CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$117
about 1.2× the $95 Medicare rate · typically $55–$253
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
Below the fair price — a good deal
about $70 under the fair price · 0.5× Medicare
Medicare pays $95 Fair price $117 This hospital $47 Hospital's list price $229

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 OH hospitals compared.

Cheapest $37 Priciest $59

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 $117 (about 1.2× the $95 Medicare rate). Arthur G James Cancer Hospital and Research Institute charges insurers about $47 — below the fair price — a good deal. Located in Columbus, 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 $64 - $208 67%
Blue Cross Blue Shieldmajor $84 - $217 88%
Aetnamajor $61 - $5,388 64%
Cignamajor $126 - $166 132%
Humanamajor $51 - $5,521 54%
AmeriHealth $85 - $123 89%
CareSource $76 - $113 80%
Molina $76 - $5,388 80%
+ 10 smaller / regional plans $30 - $5,413
Government programs also on file: Medicare, Medicaid.
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: 460 W 10Th Ave, Columbus, OH 43210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL