CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Bellevue Hospital Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $141
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Bellevue Hospital Center is $141. 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 $135.6, this hospital’s rate is 1.04x 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
$141

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Insurance Median: $141 (104%)
Ins. Median: $141 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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
Healthfirst $53 - $166 39%
Aetna $54 - $265 40%
United $54 - $530 40%
Carelon $68 - $431 50%
United Behavioral Health $79 - $94 58%
Local 1199 $84 - $564 62%
Affinity $93 - $190 69%
Amidacare $105 - $564 77%
Blue Cross Blue Shield $105 - $530 77%
Centerlight $105 - $332 77%
Elderplan $105 - $431 77%
Fidelis $105 - $190 77%
Centers Plan For Healthy Living $110 81%
Hamaspik $111 - $125 82%
Wellcare $114 - $398 84%
Metroplus $126 - $178 93%
Oscar $137 - $614 101%
Emblem $319 - $464 235%
Magnacare $320 - $497 236%
Oxford $332 - $410 245%
Carelon (Amida Care) $530 391%
Multiplan $530 391%
Villagecare Max $564 416%
Vnsny $564 416%

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