Office visit, established patient (20-29 min)
Facility: Mercy Hospital of Buffalo
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 $79 (about 0.8× the $95 Medicare rate). Mercy Hospital of Buffalo charges insurers about $81, or about $190 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
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 | $66 - $88 | 69% |
| Blue Cross Blue Shieldmajor | $23 - $106 | 24% |
| Aetnamajor | $88 | 92% |
| Cignamajor | $75 - $127 | 79% |
| Humanamajor | $79 - $88 | 83% |
| Amerigroup | $23 - $80 | 24% |
| Fidelis Care | $67 - $105 | 70% |
| Independent Health | $68 - $95 | 71% |
| MagnaCare | $88 | 92% |
| Molina | $180 | 189% |
| MVP Health Care | $69 - $81 | 72% |
| UPMC Health Plan | $74 | 78% |
| WellCare | $67 - $96 | 70% |
| + 16 smaller / regional plans | $54 - $98 |
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 Mercy Hospital of Buffalo
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.