CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 0.9× the $136 Medicare rate · typically $96–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
Below the fair price — a good deal
about $16 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $121 This hospital $105 Cash price $187 Hospital's list price $288

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 $105

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 $121 (about 0.9× the $136 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $105, or about $187 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 $100 74%
Blue Cross Blue Shieldmajor $184 - $556 136%
Aetnamajor $407 300%
Oscar Health $220 162%
+ 6 smaller / regional plans $100 - $230

Self-Pay How to get the cash price

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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