CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Sisters of Charity Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $59–$88
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $6 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $81 This hospital $75 Cash price $190 Hospital's list price $190

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 $75

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 $81 (about 0.9× the $95 Medicare rate). Sisters of Charity Hospital charges insurers about $75, or about $190 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

✓ 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 $66 - $88 69%
Blue Cross Blue Shieldmajor $30 - $106 32%
Aetnamajor $88 92%
Cignamajor $75 - $127 79%
Humanamajor $79 - $88 83%
Amerigroup $80 84%
Fidelis Care $67 - $105 70%
Independent Health $68 - $95 71%
MagnaCare $88 92%
Molina $180 189%
MVP Health Care $69 - $81 72%
UPMC Health Plan $74 78%
WellCare $67 - $96 70%
+ 16 smaller / regional plans $54 - $98
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals