CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$84
about 0.9× the $95 Medicare rate · typically $36–$131
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $42 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $84 This hospital $42 Cash price $97 Hospital's list price $190

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $37 Priciest $59

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 $84 (about 0.9× the $95 Medicare rate). Cincinnati Children's Hospital Medical Center charges insurers about $42, or about $97 in cash — below the fair price — a good deal. Located in Cincinnati, 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 $32 - $266 34%
Blue Cross Blue Shieldmajor $30 - $292 32%
Aetnamajor $30 - $282 32%
Cignamajor $240 - $282 252%
Humanamajor $30 - $108 32%
AmeriHealth $31 - $111 33%
CareSource $30 - $143 32%
Medical Mutual $159 - $282 167%
Molina $32 - $113 34%
WellCare $32 - $50 34%
+ 14 smaller / regional plans $31 - $291
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens