Office visit, established patient (20-29 min)
Facility: St Charles Hospital
Billing Code: 99213 (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 (20-29 min) is about $81 (about 0.9× the $95 Medicare rate). St Charles Hospital charges insurers about $85 — about the fair price. Located in Port Jefferson, NY.
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 | $43 - $298 | 45% |
| Blue Cross Blue Shieldmajor | $155 - $298 | 163% |
| Aetnamajor | $155 - $264 | 163% |
| Cignamajor | $155 - $202 | 163% |
| AmeriHealth | $140 | 147% |
| Fidelis Care | $49 | 51% |
| MVP Health Care | $155 | 163% |
| Oscar Health | $127 | 133% |
| UniCare | $202 | 212% |
| + 36 smaller / regional plans | $62 - $310 |
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 Charles Hospital
Compare: Office visit, established patient (20-29 min) at other NY hospitals
- Oswego Hospital · Oswego $56
- UPMC Chautauqua at Wca · Jamestown $59
- Westchester Medical Center · Valhalla $63
- St John's Episcopal Hospital at South Shore · Far Rockaway $64
- St James Hospital · Hornell $65
- St John's Riverside Hospital · Yonkers $65
- Wyckoff Heights Medical Center · Brooklyn $66
- Suny/Stony Brook University Hospital · Stony Brook $66
Insurance negotiated median for the same procedure, sorted lowest first.