CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercy Hospital of Buffalo

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.9× the $118 Medicare rate · typically $69–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $12 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $103 This hospital $115 Cash price $223 Hospital's list price $229

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 $115

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

A fair price for a New patient office visit (30-44 min) is about $103 (about 0.9× the $118 Medicare rate). Mercy Hospital of Buffalo charges insurers about $115, or about $223 in cash — about the fair price. Located in Buffalo, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $81 - $116 69%
Blue Cross Blue Shieldmajor $36 - $139 31%
Aetnamajor $107 91%
Cignamajor $107 - $156 91%
Humanamajor $107 91%
Amerigroup $36 - $100 31%
Fidelis Care $97 - $129 83%
Independent Health $100 - $116 85%
MagnaCare $107 91%
Molina $224 191%
MVP Health Care $116 99%
UPMC Health Plan $108 92%
WellCare $113 - $118 96%
+ 16 smaller / regional plans $71 - $121
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals