CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Montefiore New Rochelle Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$74
about 0.8× the $95 Medicare rate · typically $64–$169
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $74 Cash price $129 Hospital's list price $199
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 | $68 | 71% |
| + 4 smaller / regional plans | $69 - $547 |
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Other Procedures at Montefiore New Rochelle 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 James Hospital · Hornell $65
- St John's Riverside Hospital · Yonkers $65
- Wyckoff Heights Medical Center · Brooklyn $66
- Suny/Stony Brook University Hospital · Stony Brook $66
Insurance negotiated median for the same procedure, sorted lowest first.