CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mount Carmel Dublin

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 1.1× the $95 Medicare rate · typically $60–$209
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $52 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $107 This hospital $55 Cash price $140 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 4 charge more and 4 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 $107 (about 1.1× the $95 Medicare rate). Mount Carmel Dublin charges insurers about $55, or about $140 in cash — below the fair price — a good deal. Located in Dublin, 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 $22 - $149 23%
Blue Cross Blue Shieldmajor $22 - $149 23%
Aetnamajor $15 - $149 16%
Cignamajor $22 - $149 23%
Humanamajor $10 - $149 11%
Kaiser Permanentemajor $22 - $149 23%
Ambetter (Centene) $22 - $149 23%
AmeriHealth $22 - $149 23%
AvMed $22 - $149 23%
Bright Health $22 - $149 23%
CareSource $22 - $149 23%
Clover Health $22 - $149 23%
Dean Health Plan $22 - $149 23%
Fidelis Care $22 - $149 23%
Friday Health $22 - $149 23%
GEHA $22 - $149 23%
Geisinger $22 - $149 23%
Harvard Pilgrim $22 - $149 23%
Health Net $22 - $149 23%
HealthLink $22 - $149 23%
HealthPartners $22 - $149 23%
Independent Health $22 - $149 23%
MagnaCare $22 - $149 23%
Medica $22 - $149 23%
Medical Mutual $22 - $149 23%
Meridian $22 - $149 23%
Moda Health $22 - $149 23%
Molina $22 - $149 23%
MVP Health Care $22 - $149 23%
Oscar Health $22 - $149 23%
PacificSource $22 - $149 23%
Paramount $22 - $149 23%
Presbyterian $22 - $149 23%
Priority Health $22 - $149 23%
Providence Health Plan $22 - $149 23%
Sanford Health Plan $22 - $149 23%
Security Health Plan $22 - $149 23%
SelectHealth $22 - $149 23%
Sentara $22 - $149 23%
Tufts Health Plan $22 - $149 23%
UCare $22 - $149 23%
UniCare $22 - $149 23%
UPMC Health Plan $22 - $149 23%
WellCare $22 - $149 23%
WellMed $22 - $149 23%
WellSense $22 - $149 23%
+ 1045 smaller / regional plans $10 - $149
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4105 Emerald Pkwy, Dublin, OH 43016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals