How much does new patient office visit, low complexity cost in Ohio?
CPT 99203 — the fair price, every hospital's price, and the Medicare benchmark for Ohio.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99203 New patient office visit, low complexity
Market typical price
$120
63 facilities · typical range $92 – $187 · 1.1× Medicare PFS
Typical
$120
Medicare $109
$69 lowboxed = typical rangehigh $433
What Medicare paysⓘ
$109
Market typical
$120
Cash / self-pay price
$152
Prices near you — 63 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Metrohealth System (Cleveland) lowest | Hospital | $69cash | 0.6× | ★★★★★ hip/knee complications 4.7% |
| University Of Toledo Medical Center (Toledo) | Hospital | $77negotiated | 0.7× | ★★★★★ hip/knee complications 5.0% |
| Fairfield Medical Center (Lancaster) | Hospital | $78cash | 0.7× | ★★★★★ hip/knee complications 4.6% |
| Akron General Medical Center (Akron) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 4.6% |
| Cleveland Clinic (Cleveland) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 3.6% |
| Cleveland Clinic Avon Hospital (Avon) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 5.5% |
| Euclid Hospital (Euclid) | Hospital | $90cash | 0.8× | ★★★★★ |
| Fairview Hospital (Cleveland) | Hospital | $90cash | 0.8× | ★★★★★ |
| Hillcrest Hospital (Mayfield Heights) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 3.0% |
| Lutheran Hospital (Cleveland) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 3.9% |
| Marymount Hospital (Garfield Heights) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 3.4% |
| Medina Hospital (Medina) | Hospital | $90cash | 0.8× | ★★★★★ hip/knee complications 3.8% |
| South Pointe Hospital (Warrensville Heights) | Hospital | $90cash | 0.8× | ★★★★★ |
| Union Hospital (Dover) | Hospital | $90cash | 0.8× | ★★★★★ |
| Coshocton Regional Medical Center (Coshocton) | Hospital | $91negotiated | 0.8× | ★★★★★ |
| Mercy Health - Tiffin Hospital (Tiffin) | Hospital | $92cash | 0.8× | ★★★★★ |
| East Liverpool City Hospital (East Liverpool) | Hospital | $92negotiated | 0.8× | ★★★★★ |
| Adena Regional Medical Center (Chillicothe) | Hospital | $95cash | 0.9× | ★★★★★ hip/knee complications 3.5% |
| Glenbeigh Health Sources (Rock Creek) | Hospital | $99negotiated | 0.9× | — |
| Avita Ontario (Ontario) | Hospital | $108cash | 1.0× | ★★★★★ |
| Lake Health (Concord) | Hospital | $112negotiated | 1.0× | ★★★★★ hip/knee complications 5.8% |
| Lake Health Beachwood Medical Center (Beachwood) | Hospital | $112negotiated | 1.0× | hip/knee complications 4.0% |
| Parma Community General Hospital (Parma) | Hospital | $112negotiated | 1.0× | ★★★★★ |
| Uh Regional Hospitals (Chardon) | Hospital | $112negotiated | 1.0× | ★★★★★ |
| University Hospitals - Elyria Medical Center (Elyria) | Hospital | $112negotiated | 1.0× | ★★★★★ hip/knee complications 4.7% |
| University Hospitals Ahuja Medical Center (Beachwood) | Hospital | $112negotiated | 1.0× | ★★★★★ hip/knee complications 5.8% |
| University Hospitals Portage Medical Center (Ravenna) | Hospital | $112negotiated | 1.0× | ★★★★★ |
| Kings Daughters Medical Center Ohio (Portsmouth) | Hospital | $115cash | 1.1× | — |
| Ohio State University State Health System (Columbus) | Hospital | $119negotiated | 1.1× | ★★★★★ hip/knee complications 3.9% |
| Blanchard Valley Hospital (Findlay) | Hospital | $120cash | 1.1× | ★★★★★ hip/knee complications 7.2% |
| Alliance Community Hospital (Alliance) | Hospital | $121negotiated | 1.1× | ★★★★★ hip/knee complications 4.3% |
| Ashtabula County Medical Center (Ashtabula) | Hospital | $137cash | 1.3× | ★★★★★ hip/knee complications 4.5% |
| Grand Lake Health System (Saint Marys) | Hospital | $147cash | 1.3× | ★★★★★ |
| Wilson Memorial Hospital (Sidney) | Hospital | $151cash | 1.4× | ★★★★★ |
| Mercy Health - Defiance Hospital (Defiance) | Hospital | $152cash | 1.4× | ★★★★★ |
| Marietta Memorial Hospital (Marietta) | Hospital | $152cash | 1.4× | ★★★★★ |
| Knox Community Hospital (Mount Vernon) | Hospital | $161cash | 1.5× | ★★★★★ |
| Mary Rutan Hospital (Bellefontaine) | Hospital | $163cash | 1.5× | ★★★★★ |
| Memorial Hospital (Marysville) | Hospital | $164cash | 1.5× | ★★★★★ |
| Wood County Hospital (Bowling Green) | Hospital | $166cash | 1.5× | ★★★★★ hip/knee complications 4.5% |
| Mercer County Joint Township Community Hospital (Coldwater) | Hospital | $169cash | 1.6× | ★★★★★ |
| Berger Hospital (Circleville) | Hospital | $170negotiated | 1.6× | ★★★★★ |
| Bethesda North (Cincinnati) | Hospital | $177negotiated | 1.6× | ★★★★★ hip/knee complications 4.4% |
| Good Samaritan Hospital (Cincinnati) | Hospital | $177negotiated | 1.6× | ★★★★★ hip/knee complications 4.1% |
| Mccullough-Hyde Memorial Hospital (Oxford) | Hospital | $177negotiated | 1.6× | ★★★★★ |
| Trihealth Clinton Regional Hospital (Wilmington) | Hospital | $177negotiated | 1.6× | ★★★★★ |
| Aultman Hospital (Canton) | Hospital | $183cash | 1.7× | ★★★★★ |
| Mount Carmel Dublin (Dublin) | Hospital | $187cash | 1.7× | — |
| Crystal Clinic Orthopaedic Center (Akron) | Hospital | $191cash | 1.8× | ★★★★★ hip/knee complications 3.6% |
| Insight Hospital And Medical Center Trumbull (Warren) | Hospital | $200cash | 1.8× | ★★★★★ |
| Pomerene Hospital (Millersburg) | Hospital | $207cash | 1.9× | ★★★★★ |
| Uh Cleveland Medical Center (Cleveland) | Hospital | $210cash | 1.9× | ★★★★★ |
| Summa Health System (Akron) | Hospital | $219cash | 2.0× | ★★★★★ hip/knee complications 3.5% |
| Summa Western Reserve Hospital (Cuyahoga Falls) | Hospital | $219cash | 2.0× | ★★★★★ |
| Genesis Hospital (Zanesville) | Hospital | $234cash | 2.1× | ★★★★★ hip/knee complications 4.9% |
| Mount Carmel East & West (Columbus) | Hospital | $246cash | 2.3× | ★★★★★ hip/knee complications 4.2% |
| Mount Carmel St Ann'S (Westerville) | Hospital | $248cash | 2.3× | ★★★★★ hip/knee complications 4.6% |
| Salem Regional Medical Center (Salem) | Hospital | $272cash | 2.5× | ★★★★★ |
| Fisher-Titus Hospital (Norwalk) | Hospital | $285cash | 2.6× | ★★★★★ |
| Lima Memorial Health System (Lima) gross charge | Hospital | $369cash | 3.4× | ★★★★★ |
| Atrium Medical Center (Franklin) gross charge | Hospital | $433cash | 4.0× | ★★★★★ |
| Miami Valley Hospital (Dayton) gross charge | Hospital | $433cash | 4.0× | ★★★★★ hip/knee complications 3.0% |
| Upper Valley Medical Center (Troy) gross charge | Hospital | $433cash | 4.0× | ★★★★★ |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 4 unusually low/high prices excluded from the typical price as likely data errors.
See new patient office visit, low complexity prices in another area
What should 99203 cost in Ohio?
For new patient office visit, low complexity (CPT 99203) in Ohio, a fair self-pay price is around $120, with hospitals ranging from $92 to $187 across 63 facilities. Medicare's benchmark rate is $109, 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 new patient office visit, low complexity cost in Ohio?
A fair self-pay price for new patient office visit, low complexity (CPT 99203) in Ohio is around $120, with hospital prices ranging from $92 to $187 across 63 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99203?
Medicare pays about $109 for new patient office visit, low complexity (CPT 99203). 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 new 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 99203, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in Ohio
Total knee replacement (arthroplasty)Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCMajor hip/knee joint replacement, inpatient, w/ MCC
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.