CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercy Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$126
about 0.9× the $136 Medicare rate · typically $98–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
Above the fair price
about $28 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $126 This hospital $154 Hospital's list price $375

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 $72 Priciest $154

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 $126 (about 0.9× the $136 Medicare rate). Mercy Medical Center charges insurers about $154 — above the fair price. Located in Rockville Centre, 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 $126. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $64 - $298 47%
Blue Cross Blue Shieldmajor $188 - $298 139%
Aetnamajor $188 - $300 139%
Cignamajor $188 - $244 139%
AmeriHealth $169 125%
Fidelis Care $71 52%
MVP Health Care $188 139%
Oscar Health $154 114%
UniCare $244 180%
+ 36 smaller / regional plans $75 - $375
Government programs also on file: Military & VA.
Excludes 7 rental-network / third-party entries (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: 1000 North Village Avenue, Rockville Centre, NY 11571
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals