CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.9× the $118 Medicare rate · typically $82–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
Below the fair price — a good deal
about $11 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $101 This hospital $90 Cash price $244 Hospital's list price $375

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 $90

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 $101 (about 0.9× the $118 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $90, or about $244 in cash — below the fair price — a good deal. Located in Mount Vernon, 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 $84 71%
Blue Cross Blue Shieldmajor $240 - $556 204%
Aetnamajor $355 302%
Oscar Health $287 244%
+ 6 smaller / regional plans $84 - $300

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals