CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Columbia Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$82
about 0.9× the $95 Medicare rate · typically $49–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $82 This hospital $88 Cash price $128 Hospital's list price $256

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 $88

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 $82 (about 0.9× the $95 Medicare rate). Columbia Memorial Hospital charges insurers about $88, or about $128 in cash — about the fair price. Located in Hudson, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $31 - $230 33%
Blue Cross Blue Shieldmajor $53 - $309 56%
Aetnamajor $46 - $261 48%
Cignamajor $67 - $101 70%
CDPHP $28 - $141 29%
Fidelis Care $65 - $106 68%
MagnaCare $92 - $280 97%
MVP Health Care $48 - $255 50%
+ 5 smaller / regional plans $64 - $309
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 71 Prospect Avenue, Hudson, NY 12534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals