CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Francis Hospital & Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $45–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $8 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $90 This hospital $98 Cash price $237 Hospital's list price $237

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

On the higher side — 6 of 8 other CT hospitals charge less.

Cheapest $31 Priciest $106

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $90 (about 0.9× the $95 Medicare rate). St Francis Hospital & Medical Center charges insurers about $98, or about $237 in cash — about the fair price. Located in Hartford, CT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $43 - $161 45%
Blue Cross Blue Shieldmajor $43 - $179 45%
Aetnamajor $43 - $156 45%
Cignamajor $43 - $161 45%
Humanamajor $43 - $98 45%
Kaiser Permanentemajor $111 117%
Ambetter (Centene) $43 45%
Clover Health $98 103%
Harvard Pilgrim $205 215%
Health Net $43 - $134 45%
HealthPartners $43 45%
Meridian $43 - $98 45%
Molina $43 45%
Paramount $43 45%
Presbyterian $43 - $98 45%
Tufts Health Plan $43 - $199 45%
UniCare $163 - $179 171%
WellMed $98 103%
WellSense $43 45%
+ 355 smaller / regional plans $43 - $237
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals