Office visit, established patient (20-29 min)
Facility: Flushing Hospital Medical Center
Billing Code: 99213 (CPT)
This hospital's typical commercial price is $75 compared to the $81 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Office visit, established patient (20-29 min) is about $81 (about 0.9× the $95 Medicare rate). Flushing Hospital Medical Center charges insurers about $75, or about $430 in cash — about the fair price. Located in Flushing, 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 | $46 - $230 | 48% |
| Blue Cross Blue Shieldmajor | $176 | 185% |
| Aetnamajor | $64 - $278 | 67% |
| Cignamajor | $289 | 304% |
| Humanamajor | $64 - $67 | 67% |
| EmblemHealth | $99 | 104% |
| Fidelis Care | $60 - $64 | 63% |
| MagnaCare | $73 - $1,485 | 77% |
| Oscar Health | $438 | 460% |
| WellCare | $66 | 69% |
| + 18 smaller / regional plans | $35 - $1,912 |
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 Flushing Hospital Medical Center
Compare: Office visit, established patient (20-29 min) at other NY hospitals
- United Health Services Hospitals, Inc · Binghamton $45
- Niagara Falls Memorial Medical Center · Niagara Falls $56
- Oswego Hospital · Oswego $56
- UPMC Chautauqua at Wca · Jamestown $59
- Brooklyn Hospital Center - Downtown Campus · Brooklyn $64
- St James Hospital · Hornell $64
- St John's Episcopal Hospital at South Shore · Far Rockaway $64
- St John's Riverside Hospital · Yonkers $65
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Flushing Hospital Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $156
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $156).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Flushing Hospital Medical Center's published 45 CFR § 180 self-pay cash rate is $430 (vs. $75 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $81 Fair BaseRate ($95 Medicare)
Your bill ($430) is $349 above the denoised Fair BaseRate ($81) and 4.5× the $95 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.