CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Upper Connecticut Valley Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 1.3× the $95 Medicare rate · typically $63–$219
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $122 Cash price $94 Hospital's list price $170
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $62 - $75 | 65% |
| Blue Cross Blue Shieldmajor | $124 | 130% |
| Aetnamajor | $75 | 79% |
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Other Procedures at Upper Connecticut Valley Hospital
Compare: Office visit, established patient (20-29 min) at other NH hospitals
- New London Hospital · New London $88
- Cheshire Medical Center · Keene $94
- Weeks Medical Center · Lancaster $96
- Northeast Rehabilitation Hospital Network · Salem $106
- Wentworth-Douglass Hospital · Dover $132
- Mary Hitchcock Memorial Hospital · Lebanon $167
Insurance negotiated median for the same procedure, sorted lowest first.