CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Holzer Medical Center Jackson
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$107
about 0.9× the $118 Medicare rate · typically $71–$273
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $107 Cash price $166 Hospital's list price $332
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
✓ 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 | $63 - $216 | 54% |
| Blue Cross Blue Shieldmajor | $103 - $194 | 88% |
| Aetnamajor | $98 - $216 | 83% |
| Cignamajor | $242 | 206% |
| Humanamajor | $63 - $299 | 54% |
| CareSource | $135 | 115% |
| + 8 smaller / regional plans | $216 - $315 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Holzer Medical Center Jackson
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.