CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Queens Hospital Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $74–$202
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
Below the fair price — a good deal
about $18 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $90 This hospital $72 Hospital's list price $357

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 $56 Priciest $72

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 (20-29 min) is about $90 (about 0.9× the $95 Medicare rate). Queens Hospital Center charges insurers about $72 — below the fair price — a good deal. Located in Jamaica, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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
UnitedHealthcaremajor $35 - $504 37%
Blue Cross Blue Shieldmajor $72 - $428 76%
Aetnamajor $40 - $257 42%
Fidelis Care $72 - $129 76%
MagnaCare $320 - $401 336%
Oscar Health $93 - $614 98%
WellCare $77 - $321 81%
+ 14 smaller / regional plans $36 - $455
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals