Emergency Department Visit with High Level of Medical Decision Making Cost in Ohio
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 103 Ohio hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,379
📉 Low $149
📈 High $6,078
🏥 103 hospitals
🏛️ 68 with insurance contracts
🇺🇸 Medicare $170
Hospital comparison — Ohio
Sorted by cash price (lowest first). Showing top 60 of 103 hospitals.
Billed more than $1,379 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Humana | Molina | Cigna | MultiPlan | Centene | First Health |
|---|---|---|---|---|---|---|---|---|---|
| METROHEALTH MEDICAL CENTER CLEVELAND |
$149 | $901 | — | — | — | — | — | — | — |
| HARRISON COMMUNITY HOSPITAL CADIZ |
$212 | $30.00 | $42.00 | $44.10 | — | $95.00 | $95.00 | — | — |
| BARNESVILLE HOSPITAL BARNESVILLE |
$212 | $31.50 | $28.38 | $31.50 | — | $95.00 | $95.00 | — | — |
| THE CHRIST HOSPITAL AUBURN AVE CINCINNATI |
$262 | — | $210 | — | — | — | — | $210 | — |
| TWIN CITY MEDICAL CENTER DENNISON |
$270 | $136 | $136 | $135 | $133 | $341 | — | — | — |
| KNOX COMMUNITY HOSPITAL MOUNT VERNON |
$285 | — | — | — | — | — | — | — | — |
| FISHER-TITUS MEDICAL CENTER NORWALK |
$320 | $160 | $43.61 | $94.23 | $43.61 | $192 | $234 | $175 | $138 |
| MOUNT CARMEL ST ANN'S HOSPITAL WESTERVILLE |
$401 | — | — | — | — | — | — | — | — |
| MOUNT CARMEL GROVE CITY GROVE CITY |
$401 | — | — | — | — | — | — | — | — |
| MOUNT CARMEL DUBLIN DUBLIN |
$401 | — | — | — | — | — | — | — | — |
| MOUNT CARMEL EAST COLUMBUS |
$401 | — | — | — | — | — | — | — | — |
| HOLZER MEDICAL CENTER JACKSON JACKSON |
$418 | — | — | — | — | — | — | — | — |
| HOLZER GALLIPOLIS GALLIPOLIS |
$418 | — | — | — | — | — | — | — | — |
| POMERENE HOSPITAL MILLERSBURG |
$473 | $166 | $166 | $90.00 | $98.94 | $394 | $90.00 | — | $90.00 |
| KINGS DAUGHTERS MEDICAL CENTER OHIO PORTSMOUTH |
$512 | $846 | $817 | — | — | $1,022 | $1,152 | — | — |
| MERCER COUNTY COMMUNITY HOSPITAL COLDWATER |
$525 | $580 | — | $572 | $930 | — | — | — | — |
| CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS CINCINNATI |
$560 | $87.03 | $91.82 | $84.10 | $88.10 | $887 | — | $91.38 | — |
| COSHOCTON REGIONAL MEDICAL CENTER COSHOCTON |
$560 | — | $94.98 | — | $92.27 | — | $839 | — | — |
| EAST LIVERPOOL CITY HOSPITAL EAST LIVERPOOL |
$560 | — | $96.95 | — | $92.33 | — | $839 | — | — |
| AULTMAN ORRVILLE HOSPITAL ORRVILLE |
$634 | — | — | — | — | — | — | — | — |
| LIMA MEMORIAL HEALTH SYSTEM LIMA |
$655 | $569 | — | — | — | — | — | — | — |
| AULTMAN ALLIANCE COMMUNITY HOSPITAL ALLIANCE |
$677 | $563 | — | — | — | — | — | — | — |
| PAULDING COUNTY HOSPITAL WEST WAYNE STREET PAULIDNG |
$706 | — | — | — | — | — | — | — | — |
| GRAND LAKE HEALTH SYSTEM SAINT MARYS |
$769 | — | — | — | — | — | — | — | — |
| WILSON MEMORIAL HOSPITAL W MICHIGAN ST SIDNEY |
$871 | — | — | — | — | — | — | — | — |
| UH SAMARITAN MEDICAL CENTER ASHLAND |
$890 | $578 | $578 | $578 | $578 | $578 | $1,068 | $578 | $985 |
| SALEM REGIONAL MEDICAL CENTER SALEM |
$930 | — | — | — | — | — | — | — | — |
| DAYTON CHILDREN'S HOSPITAL DAYTON |
$976 | $90.00 | $50.00 | $98.00 | — | $98.00 | $98.00 | $581 | — |
| MARION GENERAL HOSPITAL MARION |
$998 | $569 | — | — | $591 | — | — | — | — |
| MARY RUTAN HOSPITAL BELLEFONTAINE |
$1,017 | $587 | — | — | — | — | — | — | — |
| ADENA GREENFIELD MEDICAL CENTER GREENFIELD |
$1,073 | $515 | $515 | $520 | $515 | $2,039 | $2,039 | — | $1,682 |
| ADENA FAYETTE MEDICAL CENTER WASHINGTON COURT HOUSE |
$1,073 | $880 | $1,350 | $880 | $880 | $1,478 | $2,039 | — | $1,682 |
| ADENA PIKE MEDICAL CENTER WAVERLY |
$1,073 | $515 | $970 | $515 | $515 | $1,554 | $2,039 | — | $1,682 |
| ADENA REGIONAL MEDICAL CENTER CHILLICOTHE |
$1,073 | $584 | $584 | $584 | $584 | $768 | $2,039 | — | $1,682 |
| MERCY WILLARD HOSPITAL WILLARD |
$1,180 | — | — | — | — | — | — | — | — |
| HENRY COUNTY HOSPITAL NAPOLEON |
$1,192 | — | — | — | — | — | — | — | — |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER CAMBRIDGE |
$1,206 | $563 | — | — | — | — | — | — | — |
| OHIOHEALTH MANSFIELD HOSPITAL MANSFIELD |
$1,211 | $569 | — | — | $591 | — | — | — | — |
| OHIOHEALTH SHELBY HOSPITAL SHELBY |
$1,211 | — | — | — | — | — | — | — | — |
| TRIHEALTH CLINTON REGIONAL HOSPITAL WILMINGTON |
$1,216 | $379 | — | — | — | — | — | — | — |
| LICKING MEMORIAL HEALTH SYSTEMS NEWARK |
$1,252 | — | — | — | — | — | — | — | — |
| ASHTABULA COUNTY MEDICAL CENTER ASHTABULA |
$1,267 | $200 | $247 | — | $212 | $261 | — | — | — |
| TRINITY HEALTH ST. CLAIRSVILLE NEIGHBORHOOD HOSPITAL CLAIRSVILLE |
$1,290 | $566 | $566 | $481 | $566 | $1,660 | — | $566 | — |
| TRINITY MEDICAL CENTER EAST STEUBENVILLE |
$1,290 | $566 | $566 | $481 | $566 | $1,660 | — | $566 | — |
| TRINITY MEDICAL CENTER WEST STEUBENVILLE |
$1,290 | $566 | $566 | $481 | $566 | $1,660 | — | $566 | — |
| THREE GABLES SURGERY CENTER HUNTINGTON |
$1,298 | $173 | $173 | $173 | — | $187 | — | — | — |
| THREE GABLES SURGERY CENTER HUNTINGTON |
$1,298 | $173 | $173 | $173 | — | $187 | — | — | — |
| AVITA BUCYRUS HOSPITAL BUCYRUS |
$1,298 | — | — | — | — | — | — | — | — |
| AVITA GALION COMMUNITY HOSPITAL PORTLAND WAY S. |
$1,298 | — | — | — | — | — | — | — | — |
| AVITA ONTARIO ONTARIO |
$1,298 | — | — | — | — | — | — | — | — |
| MERCY TIFFIN HOSPITAL TIFFIN |
$1,303 | — | — | — | — | — | — | — | — |
| VAN WERT HOSPITAL VAN WERT |
$1,379 | $612 | — | — | — | — | — | — | — |
| MERCY HEALTH - DEFIANCE HOSPITAL DEFIANCE |
$1,456 | — | — | — | — | — | — | — | — |
| AULTMAN HOSPITAL CANTON |
$1,499 | $563 | — | — | — | — | — | — | — |
| UH ST JOHN MEDICAL CENTER WESTLAKE |
$1,519 | $608 | $608 | $608 | $608 | $608 | $1,822 | $608 | $1,681 |
| UH PARMA MEDICAL CENTER PARMA |
$1,519 | $563 | $563 | $563 | $563 | $563 | $1,822 | $563 | $1,681 |
| UH BEACHWOOD MEDICAL CENTER BEACHWOOD |
$1,519 | $563 | $563 | $563 | $563 | $563 | $1,822 | $563 | $1,681 |
| UH PORTAGE MEDICAL CENTER RAVENNA |
$1,519 | $608 | — | — | $608 | $608 | $1,822 | $1,095 | — |
| UH AHUJA MEDICAL CENTER BEACHWOOD |
$1,519 | $563 | $563 | $563 | $563 | $563 | $1,822 | $563 | $1,681 |
| UH TRIPOINT MEDICAL CENTER WILLOUGHBY |
$1,519 | $563 | $563 | $563 | $563 | $563 | $1,822 | $563 | $1,681 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,379 for this?
That is the median of what the 103 Ohio hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Ohio, Medicare reimburses about $170 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Ohio range from $149 to $6,078 — that means hospital cash prices are typically 8.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Ohio?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Ohio range from $149 to $6,078, with a median of $1,379. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Ohio?
- The cheapest Ohio hospital published cash price for this procedure is $149. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Ohio
Methodology. Cash prices and insurance-negotiated rates published by each Ohio facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.