Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
Mayfield Heights, OH
See all hospitals reporting CPT 99213 →Price type
Cleveland Clinic Health System - East Region’s median price of $77 is 38% below the median hospital's median price ($124), higher than 21% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare all products facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $32.70 | $32.70 | $32.70 – $32.70 |
| 3 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $42.42 | $42.42 | $42.42 – $42.42 |
| 4 | Aetna acop facility · other · outpatient | $48.59 | $48.59 | $48.59 – $48.59 |
| 5 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $54.14 | $54.14 | $54.14 – $54.14 |
| 6 | Aetna asa_whirlpool_peia facility · other · outpatient | $56.71 | $56.71 | $56.71 – $56.71 |
| 7 | Optum managed medicaid transplant facility · case rate · outpatient | $58.67 | $58.67 | $58.67 – $58.67 |
| 8 | Aetna international facility · other · outpatient | $60.00 | $60.00 | $60.00 – $60.00 |
| 9 | Anthem managed medicaid facility · case rate · outpatient | $64.85 | $64.85 | $64.85 – $64.85 |
| 10 | Molina managed medicaid facility · case rate · outpatient | $64.85 | $64.85 | $64.85 – $64.85 |
| 11 | Caresource managed medicaid facility · case rate · outpatient | $66.08 | $66.08 | $66.08 – $66.08 |
| 12 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $66.08 | $66.08 | $66.08 – $66.08 |
| 13 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $83.78 | $83.78 | $83.78 – $83.78 |
| 14 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $84.90 | $84.90 | $84.90 – $84.90 |
| 15 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $86.45 | $86.45 | $86.45 – $86.45 |
| 16 | Anthem hpn facility · fee schedule · outpatient | $107.00 | $107.00 | $107.00 – $107.00 |
| 17 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $112.50 | $112.50 | $112.50 – $112.50 |
| 18 | Anthem ppo/hmo facility · fee schedule · outpatient | $125.88 | $125.88 | $125.88 – $125.88 |
| 19 | Humana all products facility · percent of total billed charges · outpatientfrom % of charges | $127.50 | $127.50 | $127.50 – $127.50 |
| 20 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $135.00 | $135.00 | $135.00 – $135.00 |
| 21 | Aetna qhp/ipf facility · percent of total billed charges · outpatientfrom % of charges | $150.00 | $150.00 | $150.00 – $150.00 |
Last updated: Jun 15, 2026
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