CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$96
about 0.7× the $136 Medicare rate · typically $46–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $39 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $96 This hospital $57 Cash price $126 Hospital's list price $247

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 $62

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 $96 (about 0.7× the $136 Medicare rate). Cincinnati Children's Hospital Medical Center charges insurers about $57, or about $126 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 $49 - $416 36%
Blue Cross Blue Shieldmajor $44 - $456 32%
Aetnamajor $46 - $441 34%
Cignamajor $375 - $441 277%
Humanamajor $44 - $108 32%
AmeriHealth $45 - $111 33%
CareSource $44 - $223 32%
Medical Mutual $248 - $441 183%
Molina $46 - $113 34%
WellCare $49 - $65 36%
+ 14 smaller / regional plans $48 - $455
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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