CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Mary's Healthcare

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$115
about 1.0× the $118 Medicare rate · typically $88–$131
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
About the fair price
about $15 over the fair price · 1.1× Medicare
Medicare pays $118 Fair price $115 This hospital $130 Cash price $128 Hospital's list price $186

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 $130

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 $115 (about 1.0× the $118 Medicare rate). St Mary's Healthcare charges insurers about $130, or about $128 in cash — about the fair price. Located in Amsterdam, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $69 - $545 59%
Aetnamajor $39 - $312 33%
CDPHP $69 - $291 59%
+ 3 smaller / regional plans $49 - $494

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals