CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Bellevue Hospital Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $129
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Bellevue Hospital Center is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.10x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Insurance Median: $129 (110%)
Ins. Median: $129 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United Behavioral Health $43 - $51 37%
Healthfirst $45 - $165 38%
United $53 - $526 45%
Aetna $57 - $263 48%
Carelon $63 - $428 54%
Affinity $79 - $161 67%
Local 1199 $83 - $559 71%
Amidacare $90 - $559 77%
Blue Cross Blue Shield $90 - $526 77%
Centerlight $90 - $329 77%
Elderplan $90 - $428 77%
Fidelis $90 - $161 77%
Centers Plan For Healthy Living $93 79%
Hamaspik $94 - $105 80%
Wellcare $97 - $395 83%
Metroplus $106 - $158 90%
Oscar $117 - $614 100%
Emblem $319 - $461 271%
Magnacare $320 - $494 272%
Oxford $329 - $410 280%
Carelon (Amida Care) $526 447%
Multiplan $526 447%
Villagecare Max $559 475%
Vnsny $559 475%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals