CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Mary's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $58–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $5 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $78 This hospital $73 Cash price $234 Hospital's list price $234

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 9 CT hospitals we have prices for — a strong deal.

Cheapest $73 Priciest $124

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $78 (about 0.7× the $118 Medicare rate). Saint Mary's Hospital charges insurers about $73, or about $234 in cash — about the fair price. Located in Waterbury, 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 $60 - $145 51%
Blue Cross Blue Shieldmajor $60 - $128 51%
Aetnamajor $60 - $139 51%
Cignamajor $60 - $73 51%
Humanamajor $60 - $80 51%
Kaiser Permanentemajor $100 - $112 85%
Ambetter (Centene) $60 - $66 51%
Clover Health $62 - $73 53%
Harvard Pilgrim $155 - $175 132%
Health Net $60 - $121 51%
HealthPartners $60 - $66 51%
Meridian $60 - $73 51%
Molina $60 - $66 51%
Paramount $60 - $66 51%
Presbyterian $60 - $73 51%
Tufts Health Plan $60 - $170 51%
UniCare $116 - $128 99%
WellMed $62 - $73 53%
WellSense $60 - $66 51%
+ 354 smaller / regional plans $60 - $292
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: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals