CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Kaleida Health

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 0.9× the $136 Medicare rate · typically $88–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $121 This hospital $118 Cash price $396 Hospital's list price $396

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 $72 Priciest $118

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $121 (about 0.9× the $136 Medicare rate). Kaleida Health charges insurers about $118, or about $396 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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $34 - $128 25%
Aetnamajor $114 84%
Humanamajor $55 41%
Independent Health $62 - $193 46%
MagnaCare $114 - $193 84%
+ 4 smaller / regional plans $109 - $218

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.

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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