CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Albany Medical Center Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 0.8× the $118 Medicare rate · typically $76–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$111
About the fair price
about $11 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $100 This hospital $111 Cash price $69 Hospital's list price $138

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 $111

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 $100 (about 0.8× the $118 Medicare rate). Albany Medical Center Hospital charges insurers about $111, or about $69 in cash — about the fair price. Located in Albany, 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 $77 - $236 65%
Blue Cross Blue Shieldmajor $63 - $212 54%
Aetnamajor $75 - $220 64%
Cignamajor $105 - $179 89%
CDPHP $30 - $184 26%
Fidelis Care $60 - $147 51%
MagnaCare $96 - $110 82%
MVP Health Care $67 - $297 57%
+ 9 smaller / regional plans $51 - $234
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals