How much does established patient office visit, low complexity cost in Columbus, OH?
CPT 99213 — the fair price, every hospital's price, and the Medicare benchmark for Columbus, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Mount Carmel Dublin (Dublin) lowest | Hospital | $22cash | 0.3× | — |
| Fairfield Medical Center (Lancaster) | Hospital | $75cash | 0.8× | ★★★★★ hip/knee complications 4.6% |
| Ohio State University State Health System (Columbus) | Hospital | $111negotiated | 1.3× | ★★★★★ hip/knee complications 3.9% |
| Berger Hospital (Circleville) | Hospital | $137negotiated | 1.5× | ★★★★★ |
| Knox Community Hospital (Mount Vernon) | Hospital | $152cash | 1.7× | ★★★★★ |
| Mount Carmel East & West (Columbus) | Hospital | $200cash | 2.2× | ★★★★★ hip/knee complications 4.2% |
| Madison Health (London) | Hospital | $214cash | 2.4× | ★★★★★ |
| Memorial Hospital (Marysville) | Hospital | $307cash | 3.5× | ★★★★★ |
| Mount Carmel St Ann'S (Westerville) | Hospital | $343cash | 3.9× | ★★★★★ hip/knee complications 4.6% |
| Licking Memorial Hospital (Newark) gross charge | Hospital | $720cash | 8.1× | ★★★★★ hip/knee complications 5.2% |
What should 99213 cost in Columbus, OH?
For established patient office visit, low complexity (CPT 99213) in Columbus, OH, a fair self-pay price is around $152, with hospitals ranging from $102 to $316 across 10 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 Columbus, OH?
A fair self-pay price for established patient office visit, low complexity (CPT 99213) in Columbus, OH is around $152, with hospital prices ranging from $102 to $316 across 10 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 Columbus, 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.