CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Glens Falls Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$115
about 0.8× the $136 Medicare rate · typically $92–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$121
About the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $115 This hospital $121 Cash price $132 Hospital's list price $265

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 $121

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 $115 (about 0.8× the $136 Medicare rate). Glens Falls Hospital charges insurers about $121, or about $132 in cash — about the fair price. Located in Glens Falls, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $169 50%
Blue Cross Blue Shieldmajor $91 - $299 67%
Aetnamajor $77 - $161 57%
Cignamajor $110 - $181 81%
CDPHP $36 - $197 27%
Fidelis Care $91 - $188 67%
MagnaCare $162 - $235 119%
MVP Health Care $70 - $422 52%
+ 5 smaller / regional plans $77 - $266
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Park Street, Glens Falls, NY 12801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals