How much does established patient office visit, low complexity cost in Cincinnati, OH?
CPT 99213 — the fair price, every hospital's price, and the Medicare benchmark for Cincinnati, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Bethesda North (Cincinnati) lowest | Hospital | $142negotiated | 1.6× | ★★★★★ hip/knee complications 4.4% |
| Good Samaritan Hospital (Cincinnati) | Hospital | $142negotiated | 1.6× | ★★★★★ hip/knee complications 4.1% |
| Mccullough-Hyde Memorial Hospital (Oxford) | Hospital | $142negotiated | 1.6× | ★★★★★ |
| Atrium Medical Center (Franklin) | Hospital | $379cash | 4.3× | ★★★★★ |
What should 99213 cost in Cincinnati, OH?
For established patient office visit, low complexity (CPT 99213) in Cincinnati, OH, a fair self-pay price is around $142, with hospitals ranging from $142 to $320 across 4 facilities. Medicare's benchmark rate is $89, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does established patient office visit, low complexity cost in Cincinnati, OH?
A fair self-pay price for established patient office visit, low complexity (CPT 99213) in Cincinnati, OH is around $142, with hospital prices ranging from $142 to $320 across 4 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99213?
Medicare pays about $89 for established patient office visit, low complexity (CPT 99213). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of established patient office visit, low complexity?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 99213, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in Cincinnati, OH
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.