CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Peter's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$128
about 0.9× the $136 Medicare rate · typically $98–$222
modeled estimate · not a bill or quote
What this hospital charges insurers
$159
Above the fair price
about $31 over the fair price · 1.2× Medicare
Medicare pays $136 Fair price $128 This hospital $159 Hospital's list price $289

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 $159

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 $128 (about 0.9× the $136 Medicare rate). St Peter's Hospital charges insurers about $159 — 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 $128. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $67 - $327 49%
Blue Cross Blue Shieldmajor $82 - $436 60%
Aetnamajor $82 - $327 60%
Cignamajor $250 - $594 184%
Humanamajor $87 - $327 64%
Kaiser Permanentemajor $250 - $327 184%
Ambetter (Centene) $250 - $327 184%
AmeriHealth $250 - $327 184%
AvMed $250 - $327 184%
Bright Health $250 - $327 184%
CareSource $250 - $327 184%
Clover Health $250 - $327 184%
Dean Health Plan $250 - $327 184%
Fidelis Care $148 - $327 109%
Friday Health $250 - $327 184%
GEHA $132 - $327 97%
Geisinger $250 - $327 184%
Harvard Pilgrim $250 - $327 184%
Health Net $250 - $327 184%
HealthLink $250 - $327 184%
HealthPartners $250 - $594 184%
Independent Health $250 - $327 184%
MagnaCare $250 - $327 184%
Medica $250 - $327 184%
Medical Mutual $132 - $327 97%
Meridian $250 - $327 184%
Moda Health $250 - $327 184%
Molina $250 - $327 184%
MVP Health Care $159 - $327 117%
Oscar Health $250 - $327 184%
PacificSource $250 - $327 184%
Paramount $250 - $327 184%
Presbyterian $250 - $327 184%
Priority Health $250 - $594 184%
Providence Health Plan $250 - $327 184%
Sanford Health Plan $250 - $327 184%
Security Health Plan $250 - $327 184%
SelectHealth $250 - $327 184%
Sentara $250 - $327 184%
Tufts Health Plan $250 - $594 184%
UCare $250 - $327 184%
UniCare $176 - $327 130%
UPMC Health Plan $250 - $327 184%
WellCare $250 - $327 184%
WellMed $250 - $327 184%
WellSense $250 - $327 184%
+ 1049 smaller / regional plans $82 - $594
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (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.

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Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals