Office visit, new patient, 45-59 min in Ohio
What Ohio hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
439
Neg. median
$91.77
Min
$34
Max
$353.69
Cash median
$109.73
Across 12 Ohio hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $34 to $353.69, with a median of $91.77. The interquartile range is $58.34 to $134.3. Cash-pay patients typically pay $109.73; gross charges median $219.45.
By payer in Ohio
Top 30 payers for Office visit, new patient, 45-59 min in Ohio.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 5 | 29 | $104.5 |
| UnitedHealthcare | 5 | 36 | $73.79 |
| Humana | 5 | 14 | $84.49 |
| First Health | 4 | 12 | $104.6 |
| Molina | 3 | 7 | $89.97 |
| Anthem BCBS | 3 | 25 | $121.98 |
| Cigna | 3 | 10 | $134.04 |
| ohio health choice | 3 | 10 | $110.6 |
| the health plan | 3 | 10 | $118.74 |
| medigold | 2 | 2 | $106.39 |
| Blue Cross Blue Shield | 2 | 7 | $101 |
| buckeye community health plan | 2 | 2 | $106.39 |
| care source | 2 | 2 | $108.52 |
| care source just4me | 2 | 2 | $191.5 |
| healthsmart | 2 | 14 | $129.2 |
| Medicaid | 2 | 9 | $84.99 |
| medical mutual of ohio | 2 | 9 | $128.94 |
| Medicare | 2 | 32 | $58.34 |
| Multiplan | 2 | 4 | $208.48 |
| ohio ppo connect | 2 | 4 | $153.62 |
| sidecar health | 2 | 2 | $292.84 |
| medical mutual | 1 | 9 | $73 |
| three rivers network | 1 | 2 | $208.48 |
| medical mutual of ohio supermed | 1 | 2 | $165.38 |
| transplants-case rates [5750] | 1 | 17 | $49.5 |
| cofinity group 15892 & 15893 | 1 | 1 | $92.16 |
| CareSource | 1 | 3 | $52.72 |
| u of m health plan | 1 | 1 | $133.42 |
| buckeye | 1 | 3 | $52.72 |
| aultcare | 1 | 9 | $53.72 |
Hospital comparison — Office visit, new patient, 45-59 min in Ohio
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Adams County Regional Medical Center | Seaman | $58.34 | $66 | $110 |
| Twin City Hospital | Dennison | $85 | $75.4 | $152 |
| St. Lukes Hospital | Maumee | $122.25 | $120.5 | $241 |
| Fayette County Memorial Hosp | Washington Court House | $145.5 | $109.73 | $219.45 |
| Adena Regional Medical Center | Chillicothe | $153.62 | $109.73 | $219.45 |
| Barnesville Hospital | Barnesville | — | $144 | $288 |
| Wilson Memorial Hospital | Sidney | — | $175.35 | $350.7 |
| Summa Rehab Hospital | Akron | — | — | $510 |
| Wayne Hospital Company | Greenville | — | $324 | $432 |
| Trumbull Memorial Hospital | Warren | — | $300 | $375 |
| Henry County Hospital (Cah) | Napoleon | — | $99 | $132 |
| Harrison Community Hospital | Cadiz | — | $152.75 | $305.5 |