New patient office visit (30-44 min)
Facility: Sisters of Charity Hospital
Billing Code: 99203 (CPT)
This hospital's typical commercial price is $114 compared to the $113 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Highest price of the 9 NY hospitals we have prices for — worth calling around.
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 $113 (about 1.0× the $118 Medicare rate). Sisters of Charity Hospital charges insurers about $114, or about $223 in cash — about the fair price. Located in Buffalo, NY.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $81 - $116 | 69% |
| Blue Cross Blue Shieldmajor | $36 - $139 | 31% |
| Aetnamajor | $107 | 91% |
| Cignamajor | $91 - $156 | 77% |
| Humanamajor | $97 - $107 | 83% |
| Amerigroup | $36 - $100 | 31% |
| Fidelis Care | $83 - $129 | 71% |
| Independent Health | $85 - $116 | 72% |
| MagnaCare | $107 | 91% |
| Molina | $224 | 191% |
| MVP Health Care | $99 - $116 | 84% |
| UPMC Health Plan | $108 | 92% |
| WellCare | $83 - $118 | 71% |
| + 16 smaller / regional plans | $67 - $121 |
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.
Other Procedures at Sisters of Charity Hospital
Compare: New patient office visit (30-44 min) at other NY hospitals
- United Health Services Hospitals, Inc · Binghamton $56
- Niagara Falls Memorial Medical Center · Niagara Falls $69
- Oswego Hospital · Oswego $69
- UPMC Chautauqua at Wca · Jamestown $79
- Brooklyn Hospital Center - Downtown Campus · Brooklyn $80
- St John's Episcopal Hospital at South Shore · Far Rockaway $80
- Westfield Memorial Hospital Inc · Westfield $81
- St John's Riverside Hospital · Yonkers $82
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Sisters of Charity Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $81
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $81).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Sisters of Charity Hospital's published 45 CFR § 180 self-pay cash rate is $223 (vs. $114 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $113 Fair BaseRate ($118 Medicare)
Your bill ($223) is $110 above the denoised Fair BaseRate ($113) and 1.9× the $118 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.