CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mount Carmel New Albany Surgical Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$124
about 0.9× the $136 Medicare rate · typically $81–$287
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
Below the fair price — a good deal
about $32 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $124 This hospital $92 Cash price $213 Hospital's list price $213

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 $124 (about 0.9× the $136 Medicare rate). Mount Carmel New Albany Surgical Hospital charges insurers about $92, or about $213 in cash — below the fair price — a good deal. Located in New Albany, OH.

What each insurance company pays

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

6 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 $207 - $219 153%
Blue Cross Blue Shieldmajor $207 - $219 153%
Aetnamajor $82 - $219 60%
Cignamajor $207 - $219 153%
Humanamajor $92 - $219 68%
Kaiser Permanentemajor $207 - $219 153%
Ambetter (Centene) $207 - $219 153%
AmeriHealth $207 - $219 153%
AvMed $207 - $219 153%
Bright Health $207 - $219 153%
CareSource $207 - $219 153%
Clover Health $207 - $219 153%
Dean Health Plan $207 - $219 153%
Fidelis Care $207 - $219 153%
Friday Health $207 - $219 153%
GEHA $116 - $219 86%
Geisinger $207 - $219 153%
Harvard Pilgrim $207 - $219 153%
Health Net $207 - $219 153%
HealthLink $207 - $219 153%
HealthPartners $207 - $219 153%
Independent Health $207 - $219 153%
MagnaCare $207 - $219 153%
Medica $207 - $219 153%
Medical Mutual $207 - $219 153%
Meridian $207 - $219 153%
Moda Health $207 - $219 153%
Molina $207 - $219 153%
MVP Health Care $207 - $219 153%
Oscar Health $207 - $219 153%
PacificSource $207 - $219 153%
Paramount $207 - $219 153%
Presbyterian $207 - $219 153%
Priority Health $207 - $219 153%
Providence Health Plan $207 - $219 153%
Sanford Health Plan $207 - $219 153%
Security Health Plan $207 - $219 153%
SelectHealth $207 - $219 153%
Sentara $207 - $219 153%
Tufts Health Plan $207 - $219 153%
UCare $207 - $219 153%
UniCare $207 - $219 153%
UPMC Health Plan $207 - $219 153%
WellCare $207 - $219 153%
WellMed $207 - $219 153%
WellSense $207 - $219 153%
+ 1038 smaller / regional plans $82 - $219
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 41 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7333 Smith's Mill Road, New Albany, OH 43054
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals