CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Albany Medical Center Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 0.8× the $136 Medicare rate · typically $94–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
Above the fair price
about $18 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $107 This hospital $125 Cash price $161 Hospital's list price $321

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 $125

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

A fair price for a Office visit, established patient (30-39 min) is about $107 (about 0.8× the $136 Medicare rate). Albany Medical Center Hospital charges insurers about $125, or about $161 in cash — above the fair price. Located in Albany, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $107. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $90 - $295 66%
Blue Cross Blue Shieldmajor $75 - $214 55%
Aetnamajor $77 - $251 57%
Cignamajor $110 - $181 81%
CDPHP $36 - $212 27%
Fidelis Care $72 - $221 53%
MagnaCare $96 - $295 71%
MVP Health Care $70 - $793 52%
+ 9 smaller / regional plans $42 - $295
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.

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.

Enter your details and press estimate to compare.

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