CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Akron Children's Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $56–$81
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $81 Cash price $56 Hospital's list price $85
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 | $19 - $211 | 20% |
| Blue Cross Blue Shieldmajor | $23 - $140 | 24% |
| Aetnamajor | $26 - $116 | 27% |
| Cignamajor | $25 - $149 | 26% |
| Humanamajor | $28 - $96 | 29% |
| AmeriHealth | $36 - $98 | 38% |
| CareSource | $35 - $94 | 37% |
| Health Net | $25 - $63 | 26% |
| Molina | $35 - $95 | 37% |
| Paramount | $28 - $70 | 29% |
| + 23 smaller / regional plans | $10 - $165 |
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Akron Children's 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.