▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in OH
Hospitals
12
Min
$58.34
Median
$122.25
Max
$153.62
Range multiplier
2.6×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 5 | 36 | $34.68 | $73.79 | $252.70 | 7.3× |
| Medicare | 2 | 32 | $49.50 | $58.34 | $118.34 | 2.4× |
| Aetna | 5 | 29 | $34.68 | $104.50 | $173.80 | 5.0× |
| Anthem BCBS | 3 | 25 | $34.00 | $121.98 | $145.50 | 4.3× |
| transplants-case rates [5750] | 1 | 17 | $38.50 | $49.50 | $90.71 | 2.4× |
| healthsmart | 2 | 14 | $55.00 | $129.20 | $186.53 | 3.4× |
| Humana | 5 | 14 | $34.34 | $84.49 | $208.48 | 6.1× |
| First Health | 4 | 12 | $78.00 | $104.60 | $172.05 | 2.2× |
| ohio health choice | 3 | 10 | $70.00 | $110.60 | $174.68 | 2.5× |
| the health plan | 3 | 10 | $34.00 | $118.74 | $153.62 | 4.5× |
| Cigna | 3 | 10 | $78.56 | $134.04 | $151.20 | 1.9× |
| medical mutual of ohio | 2 | 9 | $89.97 | $128.94 | $165.38 | 1.8× |
| Medicaid | 2 | 9 | $52.00 | $84.99 | $110.00 | 2.1× |
| summacare | 1 | 9 | $34.00 | $85.00 | $134.30 | 4.0× |
| medical mutual | 1 | 9 | $34.00 | $73.00 | $115.34 | 3.4× |
| aultcare | 1 | 9 | $34.00 | $53.72 | $75.84 | 2.2× |
| Molina | 3 | 7 | $34.00 | $89.97 | $202.62 | 6.0× |
| Blue Cross Blue Shield | 2 | 7 | $95.95 | $101.00 | $353.69 | 3.7× |
| ohio preferred network | 1 | 6 | $75.00 | $116.25 | $134.30 | 1.8× |
| commercial-contracted [8000] | 1 | 5 | $67.49 | $82.50 | $110.00 | 1.6× |
| priority health | 1 | 4 | $101.61 | $127.00 | $191.04 | 1.9× |
| ohio ppo connect | 2 | 4 | $153.62 | $153.62 | $153.62 | 1.0× |
| Multiplan | 2 | 4 | $208.48 | $208.48 | $208.48 | 1.0× |
| CareSource | 1 | 3 | $34.68 | $52.72 | $54.80 | 1.6× |
| buckeye | 1 | 3 | $34.68 | $52.72 | $54.80 | 1.6× |
| workers compensation | 1 | 2 | $59.78 | $61.33 | $62.87 | 1.1× |
| integrated health plan | 1 | 2 | $208.48 | $208.48 | $208.48 | 1.0× |
| medical mutual of ohio supermed | 1 | 2 | $165.38 | $165.38 | $165.38 | 1.0× |
| medigold | 2 | 2 | $89.97 | $106.39 | $122.80 | 1.4× |
| care source just4me | 2 | 2 | $161.95 | $191.50 | $221.04 | 1.4× |
| sidecar health | 2 | 2 | $247.98 | $292.84 | $337.70 | 1.4× |
| care source | 2 | 2 | $91.77 | $108.52 | $125.26 | 1.4× |
| buckeye community health plan | 2 | 2 | $89.97 | $106.39 | $122.80 | 1.4× |
| three rivers network | 1 | 2 | $208.48 | $208.48 | $208.48 | 1.0× |
| mclaren commercial ins | 1 | 2 | $53.18 | $89.09 | $125.00 | 2.4× |
| cofinity group 15892 & 15893 | 1 | 1 | $92.16 | $92.16 | $92.16 | 1.0× |
| u of m health plan | 1 | 1 | $133.42 | $133.42 | $133.42 | 1.0× |
| gateway health | 1 | 1 | $125.26 | $125.26 | $125.26 | 1.0× |
| safe response program | 1 | 1 | $250.00 | $250.00 | $250.00 | 1.0× |
| bcccnp | 1 | 1 | $115.00 | $115.00 | $115.00 | 1.0× |
| hap - hmo | 1 | 1 | $130.19 | $130.19 | $130.19 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Twin City Hospital | Dennison | OH | 16 | $158.00 | $78.37 | $34.00 | $85.00 | $143.78 |
| Adams County Regional Medical Center | Seaman | OH | 9 | $110.00 | $66.00 | $38.50 | $58.34 | $110.00 |
| Adena Regional Medical Center | Chillicothe | OH | 21 | $219.45 | $109.73 | $78.56 | $153.62 | $337.70 |
| Fayette County Memorial Hosp | Washington Court House | OH | 18 | $219.45 | $109.73 | $74.61 | $145.50 | $247.98 |
| St. Lukes Hospital | Maumee | OH | 14 | $361.00 | $180.50 | $53.18 | $122.25 | $353.69 |
| Barnesville Hospital | Barnesville | OH | 0 | $352.00 | $176.00 | — | — | — |
| Wilson Memorial Hospital | Sidney | OH | 0 | $354.90 | $177.45 | — | — | — |
| Summa Rehab Hospital | Akron | OH | 0 | $510.00 | — | — | — | — |
| Wayne Hospital Company | Greenville | OH | 0 | $432.00 | $324.00 | — | — | — |
| Trumbull Memorial Hospital | Warren | OH | 0 | $375.00 | $300.00 | — | — | — |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $165.00 | $123.75 | — | — | — |
| Harrison Community Hospital | Cadiz | OH | 0 | $352.00 | $176.00 | — | — | — |
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.