CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Highland Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$109
about 0.9× the $118 Medicare rate · typically $73–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$183
Above the fair price
about $74 over the fair price · 1.6× Medicare
Medicare pays $118 Fair price $109 This hospital $183 Hospital's list price $239

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 $183

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 $109 (about 0.9× the $118 Medicare rate). Highland Hospital charges insurers about $183 — above the fair price. Located in Rochester, 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 $109. 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.

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 $32 - $271 27%
Blue Cross Blue Shieldmajor $32 - $362 27%
Aetnamajor $65 - $288 55%
Cignamajor $183 - $514 156%
Humanamajor $77 - $195 65%
Amerigroup $32 - $271 27%
CDPHP $203 - $367 173%
Fidelis Care $93 - $271 79%
Independent Health $114 - $192 97%
Molina $83 - $271 71%
MVP Health Care $120 - $514 102%
+ 4 smaller / regional plans $77 - $152
Government programs also on file: Medicare, Medicaid.

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: 1000 South Avenue, Rochester, NY 14617
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals