CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Gaylord Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 1.0× the $95 Medicare rate · typically $59–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $8 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $92 This hospital $100 Cash price $271 Hospital's list price $451

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

On the higher side — 7 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 $92 (about 1.0× the $95 Medicare rate). Gaylord Hospital charges insurers about $100, or about $271 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 $60 - $371 63%
Blue Cross Blue Shieldmajor $60 - $375 63%
Aetnamajor $60 - $311 63%
Cignamajor $60 - $362 63%
Harvard Pilgrim $157 - $554 165%
+ 2 smaller / regional plans $60 - $593
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

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