CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Jones Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$96
about 0.8× the $118 Medicare rate · typically $74–$176
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $1 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $96 This hospital $95 Hospital's list price $321

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 $95

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 $96 (about 0.8× the $118 Medicare rate). Jones Memorial Hospital charges insurers about $95 — about the fair price. Located in Wellsville, 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 $67 - $138 57%
Blue Cross Blue Shieldmajor $65 - $137 55%
Aetnamajor $61 - $107 52%
Cignamajor $90 - $169 77%
Humanamajor $69 59%
CDPHP $203 - $274 173%
Fidelis Care $106 - $145 90%
Independent Health $72 - $148 61%
MVP Health Care $163 139%
UPMC Health Plan $69 59%
+ 2 smaller / regional plans $69
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 191 North Main Street, Wellsville, NY 14895
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals