CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Brooks-Tlc Hospital System, Inc

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.7× the $118 Medicare rate · typically $65–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $12 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $88 This hospital $100 Cash price $326 Hospital's list price $326

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 $69 Priciest $100

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ 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 New patient office visit (30-44 min) is about $88 (about 0.7× the $118 Medicare rate). Brooks-Tlc Hospital System, Inc charges insurers about $100, or about $326 in cash — about the fair price. Located in Dunkirk, NY.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $110 - $136 94%
Independent Health $77 - $100 65%
+ 2 smaller / regional plans $73 - $100

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 529 Central Avenue, Dunkirk, NY 14048
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals