Office visit, established patient (20-29 min)
Facility: University Hospitals Conneaut Medical Center
Billing Code: 99213 (CPT)
This hospital's typical commercial price is $42 compared to the $88 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.48× fair market pricing.
One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.
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 $88 (about 0.9× the $95 Medicare rate). University Hospitals Conneaut Medical Center charges insurers about $42, or about $117 in cash — below the fair price — a good deal. Located in Conneaut, OH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $48 - $130 | 50% |
| Blue Cross Blue Shieldmajor | $48 - $156 | 50% |
| Aetnamajor | $48 - $50 | 50% |
| Cignamajor | $35 - $87 | 37% |
| Humanamajor | $48 | 50% |
| Ambetter (Centene) | $87 | 91% |
| CareSource | $87 | 91% |
| Devoted Health | $48 | 50% |
| Health Net | $133 | 140% |
| Medical Mutual | $48 - $140 | 50% |
| Molina | $48 | 50% |
| Paramount | $50 | 53% |
| WellCare | $48 | 50% |
| + 16 smaller / regional plans | $32 - $900 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at University Hospitals Conneaut Medical Center
Compare: Office visit, established patient (20-29 min) at other OH hospitals
- Uhhs Memorial Hospital of Geneva · Geneva $37
- Cincinnati Children's Hospital Medical Center · Cincinnati $42
- Mount Carmel Dublin · Dublin $55
- Wooster Community Hospital · Wooster $57
- Memorial Hospital · Marysville $57
- Mercy Medical Center · Canton $59
- Lutheran Hospital · Cleveland $59
- Marymount Hospital · Garfield Heights $59
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at University Hospitals Conneaut Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $57
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $57).
Self-Pay Cash Rate ($117) Beats Your Bill
University Hospitals Conneaut Medical Center's published 45 CFR § 180 self-pay cash rate is $117 (vs. $42 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $88 Fair BaseRate ($95 Medicare)
Your bill ($156) is $68 above the denoised Fair BaseRate ($88) and 1.6× the $95 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.