CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Crystal Clinic Orthopaedic Center
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$108
about 1.1× the $95 Medicare rate · typically $61–$153
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $108 Cash price $98 Hospital's list price $130
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 | $62 - $70 | 65% |
| Aetnamajor | $51 | 54% |
| Cignamajor | $82 | 86% |
| + 11 smaller / regional plans | $55 - $124 |
Excludes 2 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: Office visit, established patient (20-29 min) at other OH hospitals
- Uhhs Memorial Hospital of Geneva · Geneva $37
- University Hospitals Conneaut Medical Center · Conneaut $37
- Cincinnati Children's Hospital Medical Center · Cincinnati $42
- Arthur G James Cancer Hospital and Research Institute · Columbus $47
- Mount Carmel Dublin · Dublin $55
- Memorial Hospital · Marysville $57
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
Insurance negotiated median for the same procedure, sorted lowest first.