▸ Compare · PriceTransparency
Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in OH
Hospitals
12
Min
$55.25
Median
$81.72
Max
$128.77
Range multiplier
2.3×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 5 | 35 | $22.55 | $62.59 | $130.21 | 5.8× |
| Medicare | 2 | 32 | $49.50 | $58.34 | $72.48 | 1.5× |
| Aetna | 5 | 30 | $22.55 | $90.71 | $237.63 | 10.5× |
| Anthem BCBS | 3 | 25 | $22.10 | $85.79 | $119.74 | 5.4× |
| transplants-case rates [5750] | 1 | 17 | $38.50 | $49.50 | $90.71 | 2.4× |
| healthsmart | 2 | 14 | $35.75 | $83.30 | $153.51 | 4.3× |
| Humana | 5 | 14 | $22.33 | $69.03 | $171.57 | 7.7× |
| First Health | 4 | 12 | $50.70 | $90.64 | $141.59 | 2.8× |
| ohio health choice | 3 | 10 | $45.50 | $93.80 | $143.76 | 3.2× |
| the health plan | 3 | 10 | $22.10 | $88.86 | $126.42 | 5.7× |
| Cigna | 3 | 10 | $56.55 | $98.53 | $124.43 | 2.2× |
| medical mutual of ohio | 2 | 9 | $74.05 | $122.80 | $136.10 | 1.8× |
| Medicaid | 2 | 9 | $52.00 | $54.08 | $110.00 | 2.1× |
| summacare | 1 | 9 | $22.10 | $55.25 | $113.90 | 5.2× |
| medical mutual | 1 | 9 | $22.10 | $47.45 | $97.82 | 4.4× |
| aultcare | 1 | 9 | $22.10 | $38.22 | $64.32 | 2.9× |
| Molina | 3 | 7 | $22.10 | $74.05 | $202.62 | 9.2× |
| Blue Cross Blue Shield | 2 | 7 | $95.95 | $101.00 | $264.40 | 2.8× |
| ohio preferred network | 1 | 6 | $48.75 | $78.40 | $113.90 | 2.3× |
| commercial-contracted [8000] | 1 | 5 | $67.49 | $82.50 | $110.00 | 1.6× |
| ohio ppo connect | 2 | 4 | $126.42 | $126.42 | $126.42 | 1.0× |
| Multiplan | 2 | 4 | $171.57 | $171.57 | $171.57 | 1.0× |
| CareSource | 1 | 3 | $22.55 | $33.99 | $46.48 | 2.1× |
| buckeye | 1 | 3 | $22.55 | $33.99 | $46.48 | 2.1× |
| mclaren commercial ins | 1 | 2 | $49.31 | $61.66 | $74.00 | 1.5× |
| integrated health plan | 1 | 2 | $171.57 | $171.57 | $171.57 | 1.0× |
| medical mutual of ohio supermed | 1 | 2 | $136.10 | $136.10 | $136.10 | 1.0× |
| medigold | 2 | 2 | $74.05 | $98.43 | $122.80 | 1.7× |
| care source just4me | 2 | 2 | $133.28 | $177.16 | $221.04 | 1.7× |
| priority health | 1 | 2 | $90.73 | $92.47 | $94.20 | 1.0× |
| sidecar health | 2 | 2 | $204.08 | $270.89 | $337.70 | 1.7× |
| care source | 2 | 2 | $75.53 | $100.40 | $125.26 | 1.7× |
| buckeye community health plan | 2 | 2 | $74.05 | $98.43 | $122.80 | 1.7× |
| three rivers network | 1 | 2 | $171.57 | $171.57 | $171.57 | 1.0× |
| u of m health plan | 1 | 1 | $81.72 | $81.72 | $81.72 | 1.0× |
| cofinity group 15892 & 15893 | 1 | 1 | $68.74 | $68.74 | $68.74 | 1.0× |
| gateway health | 1 | 1 | $125.26 | $125.26 | $125.26 | 1.0× |
| bcccnp | 1 | 1 | $108.06 | $108.06 | $108.06 | 1.0× |
| workers compensation | 1 | 1 | $55.42 | $55.42 | $55.42 | 1.0× |
| safe response program | 1 | 1 | $225.00 | $225.00 | $225.00 | 1.0× |
| hap - hmo | 1 | 1 | $80.13 | $80.13 | $80.13 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Lukes Hospital | Maumee | OH | 14 | $291.00 | $145.50 | $49.31 | $81.72 | $264.40 |
| Adams County Regional Medical Center | Seaman | OH | 9 | $110.00 | $66.00 | $38.50 | $58.34 | $110.00 |
| Twin City Hospital | Dennison | OH | 16 | $134.00 | $66.47 | $22.10 | $55.25 | $121.94 |
| Adena Regional Medical Center | Chillicothe | OH | 21 | $180.60 | $90.30 | $64.65 | $128.77 | $337.70 |
| Fayette County Memorial Hosp | Washington Court House | OH | 18 | $180.60 | $90.30 | $61.40 | $119.74 | $204.08 |
| Barnesville Hospital | Barnesville | OH | 0 | $198.00 | $99.00 | — | — | — |
| Wilson Memorial Hospital | Sidney | OH | 0 | $354.90 | $177.45 | — | — | — |
| Summa Rehab Hospital | Akron | OH | 0 | $301.00 | — | — | — | — |
| Wayne Hospital Company | Greenville | OH | 0 | $391.00 | $293.25 | — | — | — |
| Trumbull Memorial Hospital | Warren | OH | 0 | $250.00 | $200.00 | — | — | — |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $140.00 | $105.00 | — | — | — |
| Harrison Community Hospital | Cadiz | OH | 0 | $198.00 | $99.00 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.