CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Jones Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 0.8× the $136 Medicare rate · typically $86–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $4 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $108 This hospital $104 Cash price $138 Hospital's list price $275

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 $104

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 $108 (about 0.8× the $136 Medicare rate). Jones Memorial Hospital charges insurers about $104, or about $138 in cash — 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 $70 - $138 52%
Blue Cross Blue Shieldmajor $65 - $161 48%
Aetnamajor $72 - $124 53%
Cignamajor $94 - $201 69%
Humanamajor $82 60%
CDPHP $240 - $313 177%
Fidelis Care $126 - $167 93%
Independent Health $86 - $148 63%
MVP Health Care $194 143%
UPMC Health Plan $82 60%
+ 2 smaller / regional plans $82
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