▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in OH
Hospitals
12
Min
$93.50
Median
$162.90
Max
$171.99
Range multiplier
1.8×
By payer (40 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 5 | 35 | $38.15 | $100.71 | $286.30 | 7.5× |
| Medicare | 2 | 32 | $79.65 | $93.88 | $162.32 | 2.0× |
| Aetna | 5 | 28 | $38.15 | $145.95 | $194.59 | 5.1× |
| Anthem BCBS | 3 | 25 | $37.40 | $137.35 | $176.61 | 4.7× |
| transplants-case rates [5750] | 1 | 17 | $61.95 | $79.65 | $145.95 | 2.4× |
| healthsmart | 2 | 14 | $60.50 | $150.45 | $208.85 | 3.5× |
| Humana | 5 | 14 | $37.78 | $103.12 | $233.42 | 6.2× |
| First Health | 4 | 12 | $85.80 | $145.85 | $192.63 | 2.2× |
| Cigna | 3 | 10 | $87.96 | $153.99 | $183.57 | 2.1× |
| the health plan | 3 | 10 | $37.40 | $148.61 | $171.99 | 4.6× |
| ohio health choice | 3 | 10 | $77.00 | $147.70 | $195.58 | 2.5× |
| medical mutual | 1 | 9 | $37.40 | $80.30 | $154.03 | 4.1× |
| aultcare | 1 | 9 | $37.40 | $69.03 | $101.28 | 2.7× |
| Medicaid | 2 | 9 | $52.00 | $115.66 | $177.00 | 3.4× |
| medical mutual of ohio | 2 | 9 | $100.74 | $128.94 | $185.16 | 1.8× |
| summacare | 1 | 9 | $37.40 | $93.50 | $179.35 | 4.8× |
| Molina | 3 | 7 | $37.40 | $100.74 | $202.62 | 5.4× |
| Blue Cross Blue Shield | 2 | 7 | $160.24 | $168.67 | $428.68 | 2.7× |
| ohio preferred network | 1 | 6 | $82.50 | $141.60 | $179.35 | 2.2× |
| commercial-contracted [8000] | 1 | 5 | $108.59 | $132.75 | $177.00 | 1.6× |
| ohio ppo connect | 2 | 4 | $171.99 | $171.99 | $171.99 | 1.0× |
| Multiplan | 2 | 4 | $233.42 | $233.42 | $233.42 | 1.0× |
| buckeye | 1 | 3 | $38.15 | $61.39 | $73.18 | 1.9× |
| CareSource | 1 | 3 | $38.15 | $61.39 | $73.18 | 1.9× |
| priority health | 1 | 3 | $109.54 | $200.80 | $216.44 | 2.0× |
| integrated health plan | 1 | 2 | $233.42 | $233.42 | $233.42 | 1.0× |
| buckeye community health plan | 2 | 2 | $100.74 | $111.77 | $122.80 | 1.2× |
| medical mutual of ohio supermed | 1 | 2 | $185.16 | $185.16 | $185.16 | 1.0× |
| sidecar health | 2 | 2 | $277.64 | $307.67 | $337.70 | 1.2× |
| care source | 2 | 2 | $102.75 | $114.01 | $125.26 | 1.2× |
| workers compensation | 1 | 2 | $64.45 | $95.90 | $127.35 | 2.0× |
| medigold | 2 | 2 | $100.74 | $111.77 | $122.80 | 1.2× |
| three rivers network | 1 | 2 | $233.42 | $233.42 | $233.42 | 1.0× |
| care source just4me | 2 | 2 | $181.33 | $201.19 | $221.04 | 1.2× |
| bcccnp | 1 | 1 | $115.00 | $115.00 | $115.00 | 1.0× |
| u of m health plan | 1 | 1 | $183.01 | $183.01 | $183.01 | 1.0× |
| safe response program | 1 | 1 | $275.00 | $275.00 | $275.00 | 1.0× |
| mclaren commercial ins | 1 | 1 | $168.00 | $168.00 | $168.00 | 1.0× |
| gateway health | 1 | 1 | $125.26 | $125.26 | $125.26 | 1.0× |
| hap - hmo | 1 | 1 | $177.00 | $177.00 | $177.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Adams County Regional Medical Center | Seaman | OH | 9 | $177.00 | $106.20 | $52.00 | $93.88 | $177.00 |
| Twin City Hospital | Dennison | OH | 16 | $211.00 | $104.66 | $37.40 | $93.50 | $192.01 |
| Adena Regional Medical Center | Chillicothe | OH | 21 | $245.70 | $122.85 | $87.96 | $171.99 | $337.70 |
| St. Lukes Hospital | Maumee | OH | 13 | $409.00 | $204.50 | $64.45 | $163.91 | $428.68 |
| Fayette County Memorial Hosp | Washington Court House | OH | 18 | $245.70 | $122.85 | $83.54 | $162.90 | $277.64 |
| Barnesville Hospital | Barnesville | OH | 0 | $478.00 | $239.00 | — | — | — |
| Wilson Memorial Hospital | Sidney | OH | 0 | $455.70 | $227.85 | — | — | — |
| Summa Rehab Hospital | Akron | OH | 0 | $655.00 | — | — | — | — |
| Wayne Hospital Company | Greenville | OH | 0 | $420.00 | $315.00 | — | — | — |
| Trumbull Memorial Hospital | Warren | OH | 0 | $500.00 | $400.00 | — | — | — |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $215.00 | $161.25 | — | — | — |
| Harrison Community Hospital | Cadiz | OH | 0 | $439.00 | $219.50 | — | — | — |
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.