Office visit, established patient (20-29 min)
Facility: Griffin Hospital
Billing Code: 99213 (CPT)
This hospital's typical commercial price is $106 compared to the $90 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.18× fair market pricing.
Highest price of the 9 CT hospitals we have prices for — worth calling around.
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). Griffin Hospital charges insurers about $106 — above the fair price. Located in Derby, CT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $90. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $78 - $426 | 82% |
| Blue Cross Blue Shieldmajor | $119 - $650 | 125% |
| Aetnamajor | $79 - $451 | 83% |
| Cignamajor | $58 - $493 | 61% |
| + 5 smaller / regional plans | $65 - $573 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Griffin Hospital
Compare: Office visit, established patient (20-29 min) at other CT hospitals
- Johnson Memorial Hospital · Stafford Springs $31
- Saint Mary's Hospital · Waterbury $43
- Hartford Hospital · Hartford $60
- The Hospital of Central Connecticut · New Britain $60
- Bristol Hospital · Bristol $70
- Greenwich Hospital Association - · Greenwich $75
- Natchaug Hospital · Mansfield Center $83
- St Francis Hospital & Medical Center · Hartford $98
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Griffin Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $92
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $92).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Griffin Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $90 Fair BaseRate ($95 Medicare)
Your bill ($254) is $164 above the denoised Fair BaseRate ($90) and 2.7× the $95 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.