CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Kaleida Health

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 0.8× the $40 Medicare rate · typically $14–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
Below the fair price — a good deal
about $13 under the fair price · 0.4× Medicare
Medicare pays $40 Fair price $30 This hospital $17

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 1 charge more and 4 charge less, among the 9 NY hospitals compared.

Cheapest $12 Priciest $18

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

A fair price for a Diagnostic procedure preparation is about $30 (about 0.8× the $40 Medicare rate). Kaleida Health charges insurers about $17 — below the fair price — a good deal. Located in Buffalo, NY.

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 $13 32%
Blue Cross Blue Shieldmajor $8 - $45 20%
Aetnamajor $13 - $18 32%
Cignamajor $14 - $17 35%
Fidelis Care $13 32%
Independent Health $7 - $38 17%
MagnaCare $18 - $23 45%
WellCare $13 32%
+ 4 smaller / regional plans $12 - $24
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 100 High Street, Buffalo, NY 14210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals