CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Kaleida Health

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 0.9× the $118 Medicare rate · typically $74–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $7 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $108 This hospital $115 Cash price $344 Hospital's list price $344

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $69 Priciest $115

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

A fair price for a New patient office visit (30-44 min) is about $108 (about 0.9× the $118 Medicare rate). Kaleida Health charges insurers about $115, or about $344 in cash — about the fair price. 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.

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 $69 59%
Blue Cross Blue Shieldmajor $114 97%
Aetnamajor $96 82%
Independent Health $52 - $162 44%
MagnaCare $96 - $168 82%
+ 4 smaller / regional plans $92 - $255

Self-Pay How to get the cash price

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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