How much does established patient office visit, low complexity cost in Ohio?
CPT 99213 — 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.
99213 Established patient office visit, low complexity
Market typical price
$119
72 facilities · typical range $98 – $178 · 1.3× Medicare PFS
Typical
$119
Medicare $89
$22 lowboxed = typical rangehigh $723
What Medicare paysⓘ
$89
Market typical
$119
Cash / self-pay price
$126
Prices near you — 72 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Mount Carmel Dublin (Dublin) lowest | Hospital | $22cash | 0.3× | — |
| Metrohealth System (Cleveland) | Hospital | $38cash | 0.4× | ★★★★★ hip/knee complications 4.7% |
| University Of Toledo Medical Center (Toledo) | Hospital | $61negotiated | 0.7× | ★★★★★ hip/knee complications 5.0% |
| Adena Regional Medical Center (Chillicothe) | Hospital | $69cash | 0.8× | ★★★★★ hip/knee complications 3.5% |
| Grand Lake Health System (Saint Marys) | Hospital | $70cash | 0.8× | ★★★★★ |
| Fairfield Medical Center (Lancaster) | Hospital | $75cash | 0.8× | ★★★★★ hip/knee complications 4.6% |
| Alliance Community Hospital (Alliance) | Hospital | $80negotiated | 0.9× | ★★★★★ hip/knee complications 4.3% |
| Marietta Memorial Hospital (Marietta) | Hospital | $89cash | 1.0× | ★★★★★ |
| Glenbeigh Health Sources (Rock Creek) | Hospital | $91negotiated | 1.0× | — |
| Coshocton Regional Medical Center (Coshocton) | Hospital | $91negotiated | 1.0× | ★★★★★ |
| Mercy Health - Tiffin Hospital (Tiffin) | Hospital | $92cash | 1.0× | ★★★★★ |
| East Liverpool City Hospital (East Liverpool) | Hospital | $92negotiated | 1.0× | ★★★★★ |
| Akron General Medical Center (Akron) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 4.6% |
| Cleveland Clinic (Cleveland) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 3.6% |
| Cleveland Clinic Avon Hospital (Avon) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 5.5% |
| Crystal Clinic Orthopaedic Center (Akron) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 3.6% |
| Euclid Hospital (Euclid) | Hospital | $98cash | 1.1× | ★★★★★ |
| Fairview Hospital (Cleveland) | Hospital | $98cash | 1.1× | ★★★★★ |
| Hillcrest Hospital (Mayfield Heights) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 3.0% |
| Lutheran Hospital (Cleveland) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 3.9% |
| Marymount Hospital (Garfield Heights) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 3.4% |
| Medina Hospital (Medina) | Hospital | $98cash | 1.1× | ★★★★★ hip/knee complications 3.8% |
| South Pointe Hospital (Warrensville Heights) | Hospital | $98cash | 1.1× | ★★★★★ |
| Union Hospital (Dover) | Hospital | $98cash | 1.1× | ★★★★★ |
| Bay Park Community Hospital (Oregon) | Hospital | $100cash | 1.1× | ★★★★★ |
| Memorial Hospital (Fremont) | Hospital | $100cash | 1.1× | ★★★★★ |
| Promedica Toledo Hospital (Toledo) | Hospital | $100cash | 1.1× | ★★★★★ hip/knee complications 5.4% |
| Kings Daughters Medical Center Ohio (Portsmouth) | Hospital | $103cash | 1.2× | — |
| Avita Ontario (Ontario) | Hospital | $108cash | 1.2× | ★★★★★ |
| Ohio State University State Health System (Columbus) | Hospital | $111negotiated | 1.3× | ★★★★★ hip/knee complications 3.9% |
| Mercer County Joint Township Community Hospital (Coldwater) | Hospital | $113cash | 1.3× | ★★★★★ |
| Wood County Hospital (Bowling Green) | Hospital | $119cash | 1.3× | ★★★★★ hip/knee complications 4.5% |
| Blanchard Valley Hospital (Findlay) | Hospital | $120cash | 1.3× | ★★★★★ hip/knee complications 7.2% |
| Insight Hospital And Medical Center Trumbull (Warren) | Hospital | $120cash | 1.3× | ★★★★★ |
| Wilson Memorial Hospital (Sidney) | Hospital | $122cash | 1.4× | ★★★★★ |
| Lake Health (Concord) | Hospital | $126cash | 1.4× | ★★★★★ hip/knee complications 5.8% |
| Lake Health Beachwood Medical Center (Beachwood) | Hospital | $126cash | 1.4× | hip/knee complications 4.0% |
| Parma Community General Hospital (Parma) | Hospital | $126cash | 1.4× | ★★★★★ |
| Uh Regional Hospitals (Chardon) | Hospital | $126cash | 1.4× | ★★★★★ |
| Uh St John Medical Center (Westlake) | Hospital | $126cash | 1.4× | ★★★★★ hip/knee complications 5.2% |
| University Hospitals - Elyria Medical Center (Elyria) | Hospital | $126cash | 1.4× | ★★★★★ hip/knee complications 4.7% |
| University Hospitals Ahuja Medical Center (Beachwood) | Hospital | $126cash | 1.4× | ★★★★★ hip/knee complications 5.8% |
| University Hospitals Portage Medical Center (Ravenna) | Hospital | $126cash | 1.4× | ★★★★★ |
| Uh Cleveland Medical Center (Cleveland) | Hospital | $129cash | 1.5× | ★★★★★ |
| Berger Hospital (Circleville) | Hospital | $137negotiated | 1.5× | ★★★★★ |
| Bethesda North (Cincinnati) | 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× | ★★★★★ |
| Trihealth Clinton Regional Hospital (Wilmington) | Hospital | $142negotiated | 1.6× | ★★★★★ |
| Knox Community Hospital (Mount Vernon) | Hospital | $152cash | 1.7× | ★★★★★ |
| Aultman Hospital (Canton) | Hospital | $164cash | 1.8× | ★★★★★ |
| Mercy Health - Defiance Hospital (Defiance) | Hospital | $175cash | 2.0× | ★★★★★ |
| Pomerene Hospital (Millersburg) | Hospital | $177cash | 2.0× | ★★★★★ |
| Summa Health System (Akron) | Hospital | $178cash | 2.0× | ★★★★★ hip/knee complications 3.5% |
| Summa Western Reserve Hospital (Cuyahoga Falls) | Hospital | $178cash | 2.0× | ★★★★★ |
| Mount Carmel East & West (Columbus) | Hospital | $200cash | 2.2× | ★★★★★ hip/knee complications 4.2% |
| Genesis Hospital (Zanesville) | Hospital | $206cash | 2.3× | ★★★★★ hip/knee complications 4.9% |
| University Hospitals Samaritan Medical Center (Ashland) | Hospital | $211cash | 2.4× | ★★★★★ |
| Madison Health (London) | Hospital | $214cash | 2.4× | ★★★★★ |
| Fisher-Titus Hospital (Norwalk) | Hospital | $217cash | 2.4× | ★★★★★ |
| Ashtabula County Medical Center (Ashtabula) | Hospital | $217cash | 2.4× | ★★★★★ hip/knee complications 4.5% |
| Salem Regional Medical Center (Salem) | Hospital | $254cash | 2.9× | ★★★★★ |
| Mary Rutan Hospital (Bellefontaine) | Hospital | $277cash | 3.1× | ★★★★★ |
| Memorial Hospital (Marysville) gross charge | Hospital | $307cash | 3.5× | ★★★★★ |
| Mercy Medical Center (Canton) gross charge | Hospital | $322cash | 3.6× | ★★★★★ hip/knee complications 4.0% |
| Mount Carmel St Ann'S (Westerville) gross charge | Hospital | $343cash | 3.9× | ★★★★★ hip/knee complications 4.6% |
| Lima Memorial Health System (Lima) gross charge | Hospital | $365cash | 4.1× | ★★★★★ |
| Atrium Medical Center (Franklin) gross charge | Hospital | $379cash | 4.3× | ★★★★★ |
| Miami Valley Hospital (Dayton) gross charge | Hospital | $379cash | 4.3× | ★★★★★ hip/knee complications 3.0% |
| Upper Valley Medical Center (Troy) gross charge | Hospital | $379cash | 4.3× | ★★★★★ |
| Licking Memorial Hospital (Newark) gross charge | Hospital | $720cash | 8.1× | ★★★★★ hip/knee complications 5.2% |
| Trinity Medical Ctr East &Trinity Medical Ctr West (Steubenville) gross charge | Hospital | $723cash | 8.1× | ★★★★★ hip/knee complications 5.7% |
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. 9 unusually low/high prices excluded from the typical price as likely data errors.
See established patient office visit, low complexity prices in another area
What should 99213 cost in Ohio?
For established patient office visit, low complexity (CPT 99213) in Ohio, a fair self-pay price is around $119, with hospitals ranging from $98 to $178 across 72 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 Ohio?
A fair self-pay price for established patient office visit, low complexity (CPT 99213) in Ohio is around $119, with hospital prices ranging from $98 to $178 across 72 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.
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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.