Office visit, established patient (20-29 min)
Facility: St James Hospital
Billing Code: 99213 (CPT)
A typical price — 3 charge more and 4 charge less, among the 9 NY hospitals compared.
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 $68 (about 0.7× the $95 Medicare rate). St James Hospital charges insurers about $65, or about $98 in cash — about the fair price. Located in Hornell, 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
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 | $42 - $88 | 44% |
| Blue Cross Blue Shieldmajor | $30 - $125 | 32% |
| Aetnamajor | $42 - $88 | 44% |
| Cignamajor | $61 - $126 | 64% |
| Humanamajor | $56 | 59% |
| CDPHP | $162 - $221 | 170% |
| Fidelis Care | $48 - $78 | 50% |
| MVP Health Care | $44 - $122 | 46% |
| + 1 smaller / regional plan | $56 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St James Hospital
Compare: Office visit, established patient (20-29 min) at other NY hospitals
- Oswego Hospital · Oswego $56
- UPMC Chautauqua at Wca · Jamestown $59
- Westchester Medical Center · Valhalla $63
- St John's Episcopal Hospital at South Shore · Far Rockaway $64
- St John's Riverside Hospital · Yonkers $65
- Wyckoff Heights Medical Center · Brooklyn $66
- Suny/Stony Brook University Hospital · Stony Brook $66
- Westfield Memorial Hospital Inc · Westfield $66
Insurance negotiated median for the same procedure, sorted lowest first.