CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$96
about 0.8× the $118 Medicare rate · typically $78–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
Below the fair price — a good deal
about $18 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $96 This hospital $78 Cash price $179 Hospital's list price $299

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $58 Priciest $78

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $96 (about 0.8× the $118 Medicare rate). Nationwide Children's Hospital Toledo, LLC charges insurers about $78, or about $179 in cash — below the fair price — a good deal. Located in Toledo, 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 $44 - $151 37%
Blue Cross Blue Shieldmajor $74 - $152 63%
Aetnamajor $115 - $150 98%
Cignamajor $151 - $214 128%
Humanamajor $78 66%
AmeriHealth $44 - $78 37%
CareSource $43 - $70 37%
Molina $78 - $117 66%
Paramount $70 60%
+ 5 smaller / regional plans $72 - $209
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2213 Cherry Street, Toledo, OH 43608
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens