CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.8× the $136 Medicare rate · typically $82–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $20 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $103 This hospital $83 Cash price $177 Hospital's list price $295

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 $37 Priciest $83

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 $103 (about 0.8× the $136 Medicare rate). Nationwide Children's Hospital Toledo, LLC charges insurers about $83, or about $177 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 $51 - $149 38%
Blue Cross Blue Shieldmajor $78 - $150 58%
Aetnamajor $114 - $150 84%
Cignamajor $173 - $223 128%
Humanamajor $78 58%
AmeriHealth $52 - $78 38%
CareSource $51 - $83 38%
Molina $78 - $115 58%
Paramount $83 61%
+ 5 smaller / regional plans $74 - $229
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