CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$98
about 1.0× the $95 Medicare rate · typically $57–$178
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $98 Cash price $280 Hospital's list price $280
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 | $181 - $379 | 190% |
| Blue Cross Blue Shieldmajor | $181 - $379 | 190% |
| Aetnamajor | $181 - $379 | 190% |
| Cignamajor | $181 - $379 | 190% |
| Humanamajor | $181 - $379 | 190% |
| Ambetter (Centene) | $181 - $379 | 190% |
| CareSource | $181 - $379 | 190% |
| Devoted Health | $181 - $379 | 190% |
| Medical Mutual | $99 - $379 | 104% |
| Molina | $181 - $379 | 190% |
| UPMC Health Plan | $181 - $379 | 190% |
| + 1 smaller / regional plan | $123 - $258 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Office visit, established patient (20-29 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 $42
- Arthur G James Cancer Hospital and Research Institute · Columbus $47
- Mount Carmel Dublin · Dublin $55
- Memorial Hospital · Marysville $57
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
Insurance negotiated median for the same procedure, sorted lowest first.