CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Crystal Clinic Orthopaedic Center
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $74–$165
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $99 Cash price $156 Hospital's list price $208
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 | $70 - $537 | 60% |
| Aetnamajor | $64 - $604 | 54% |
| Cignamajor | $102 - $429 | 87% |
| + 15 smaller / regional plans | $69 - $486 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Crystal Clinic Orthopaedic Center
Compare: New patient office visit (30-44 min) at other OH hospitals
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
- Lutheran Hospital · Cleveland $59
- Medina Hospital · Medina $60
- Fairview Hospital · Cleveland $61
- Hillcrest Hospital · Mayfield Heights $62
- Euclid Hospital · Euclid $65
- Arthur G James Cancer Hospital and Research Institute · Columbus $65
Insurance negotiated median for the same procedure, sorted lowest first.