CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Cleveland Clinic Avon Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $52–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $23 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $81 This hospital $58 Cash price $90 Hospital's list price $139

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

On the higher side — 6 of 8 other OH hospitals charge less.

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 $81 (about 0.9× the $95 Medicare rate). Cleveland Clinic Avon Hospital charges insurers about $58, or about $90 in cash — below the fair price — a good deal. Located in Avon, OH.

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $59 - $86 62%
Blue Cross Blue Shieldmajor $58 - $111 61%
Aetnamajor $30 - $139 32%
CareSource $59 62%
Molina $58 61%
Oscar Health $42 - $53 44%
UPMC Health Plan $83 87%
+ 15 smaller / regional plans $42 - $125
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 33300 Cleveland Clinic Blvd, Avon, OH 44011
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals