CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Mary's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.6× the $136 Medicare rate · typically $57–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $10 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $75 This hospital $65 Cash price $207 Hospital's list price $207

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.

Cheapest $47 Priciest $188

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 Office visit, established patient (30-39 min) is about $75 (about 0.6× the $136 Medicare rate). Saint Mary's Hospital charges insurers about $65, or about $207 in cash — below the fair price — a good deal. 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 $14 - $171 10%
Blue Cross Blue Shieldmajor $14 - $152 10%
Aetnamajor $14 - $144 10%
Cignamajor $14 - $86 10%
Humanamajor $14 - $95 10%
Kaiser Permanentemajor $16 - $120 12%
Ambetter (Centene) $65 48%
Clover Health $14 - $86 10%
Harvard Pilgrim $33 - $216 24%
Health Net $23 - $142 17%
HealthPartners $65 48%
Meridian $14 - $86 10%
Molina $65 48%
Paramount $65 48%
Presbyterian $14 - $86 10%
Tufts Health Plan $32 - $200 24%
UniCare $24 - $152 18%
WellMed $14 - $86 10%
WellSense $65 48%
+ 354 smaller / regional plans $14 - $334
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.

Self-Pay How to get the cash price

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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