CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$144
about 1.2× the $118 Medicare rate · typically $77–$275
modeled estimate · not a bill or quote
What this hospital charges insurers
$281
Well above the fair price
about $137 over the fair price · 2.4× Medicare
Medicare pays $118 Fair price $144 This hospital $281 Cash price $655 Hospital's list price $655

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 $281

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 $144 (about 1.2× the $118 Medicare rate). Memorial Hospital for Cancer and Allied Diseases charges insurers about $281, or about $655 in cash — well above the fair price. Located in New York, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $144. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $540 459%
Aetnamajor $90 - $486 77%
Cignamajor $551 469%
Fidelis Care $90 77%
MagnaCare $472 - $524 401%
+ 7 smaller / regional plans $90 - $540
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1275 York Ave, New York, NY 10065
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL