CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Galion Community Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$127
about 0.9× the $136 Medicare rate · typically $89–$245
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $127 This hospital $118 Cash price $128 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $118

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 (30-39 min) is about $127 (about 0.9× the $136 Medicare rate). Galion Community Hospital charges insurers about $118, or about $128 in cash — about the fair price. Located in Galion, 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

✓ 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 $51 - $4,142 38%
Blue Cross Blue Shieldmajor $51 - $4,142 38%
Aetnamajor $52 - $4,224 38%
Cignamajor $132 97%
Humanamajor $51 - $4,142 38%
AmeriHealth $122 90%
CareSource $116 86%
Medical Mutual $120 - $4,224 88%
Molina $51 - $5,629 38%
+ 3 smaller / regional plans $51 - $4,142
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 269 Portland Way South, Galion, OH 44833
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals