CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Gaylord Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$113
about 1.0× the $118 Medicare rate · typically $81–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $113 This hospital $112 Cash price $215 Hospital's list price $334

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CT hospitals compared.

Cheapest $73 Priciest $124

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

A fair price for a New patient office visit (30-44 min) is about $113 (about 1.0× the $118 Medicare rate). Gaylord Hospital charges insurers about $112, or about $215 in cash — about the fair price. Located in Wallingford, CT.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $75 - $320 64%
Blue Cross Blue Shieldmajor $75 - $324 64%
Aetnamajor $75 - $268 64%
Cignamajor $168 - $312 143%
Harvard Pilgrim $211 - $596 179%
+ 2 smaller / regional plans $75 - $638
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL