Office visit, established patient (20-29 min)
Facility: Rainbow Babies and Childrens Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $73 (about 0.8× the $95 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $119, or about $200 in cash — above the fair price. Located in Cleveland, OH.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $73. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $102 - $259 | 107% |
| Blue Cross Blue Shieldmajor | $87 - $240 | 91% |
| Aetnamajor | $43 - $293 | 45% |
| Cignamajor | $92 - $238 | 97% |
| Humanamajor | $119 | 125% |
| Ambetter (Centene) | $92 - $207 | 97% |
| CareSource | $89 - $199 | 93% |
| Devoted Health | $119 | 125% |
| Health Net | $140 - $314 | 147% |
| Medical Mutual | $55 - $293 | 58% |
| Molina | $119 | 125% |
| Paramount | $123 | 129% |
| WellCare | $119 | 125% |
| + 21 smaller / regional plans | $82 - $332 |
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.
Other Procedures at Rainbow Babies and Childrens 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.