CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Holzer Medical Center Jackson
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$120
about 0.9× the $136 Medicare rate · typically $70–$315
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $120 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 | 46% |
| Blue Cross Blue Shieldmajor | $103 - $194 | 76% |
| Aetnamajor | $98 - $216 | 72% |
| Cignamajor | $242 | 178% |
| Humanamajor | $63 - $299 | 46% |
| CareSource | $135 | 100% |
| + 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: Office visit, established patient (30-39 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 $57
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
- Lutheran Hospital · Cleveland $59
- Medina Hospital · Medina $60
- Fairview Hospital · Cleveland $61
Insurance negotiated median for the same procedure, sorted lowest first.