CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Geneva General Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$70
about 0.7× the $95 Medicare rate · typically $59–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $70 This hospital $68 Cash price $124 Hospital's list price $311

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 $56 Priciest $68

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 (20-29 min) is about $70 (about 0.7× the $95 Medicare rate). Geneva General Hospital charges insurers about $68, or about $124 in cash — about the fair price. Located in Geneva, 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $22 - $152 23%
Blue Cross Blue Shieldmajor $22 - $237 23%
Aetnamajor $22 - $371 23%
Fidelis Care $22 - $168 23%
MVP Health Care $22 - $276 23%
WellCare $67 - $152 70%
+ 1 smaller / regional plan $60 - $389

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: 196 -198 North Street, Geneva, NY 14456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals