Office visit, established patient (30-39 min)
Facility: St Anthony Community Hospital
Billing Code: 99214 (CPT)
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.
A fair price for a Office visit, established patient (30-39 min) is about $272 (about 2.0× the $136 Medicare rate). St Anthony Community Hospital charges insurers about $372, or about $616 in cash — above the fair price. Located in Warwick, NY.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $272. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $406 - $478 | 299% |
| Blue Cross Blue Shieldmajor | $234 - $474 | 173% |
| Aetnamajor | $277 - $308 | 204% |
| Cignamajor | $431 | 318% |
| CDPHP | $308 | 227% |
| MagnaCare | $554 | 409% |
| MVP Health Care | $111 - $406 | 82% |
| + 4 smaller / regional plans | $406 - $546 |
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 St Anthony Community Hospital
Compare: Office visit, established patient (30-39 min) at other NY hospitals
- Westchester Medical Center · Valhalla $72
- Oswego Hospital · Oswego $82
- UPMC Chautauqua at Wca · Jamestown $84
- Olean General Hospital · Olean $86
- Westfield Memorial Hospital Inc · Westfield $92
- St John's Episcopal Hospital at South Shore · Far Rockaway $94
- St James Hospital · Hornell $95
- St John's Riverside Hospital · Yonkers $96
Insurance negotiated median for the same procedure, sorted lowest first.