CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Cayuga Medical Center at Ithaca
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$88
about 0.9× the $95 Medicare rate · typically $59–$194
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $88 Cash price $52 Hospital's list price $261
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 | $238 | 250% |
| Blue Cross Blue Shieldmajor | $204 | 214% |
| Aetnamajor | $129 - $201 | 136% |
| Cignamajor | $218 | 229% |
| Fidelis Care | $588 | 618% |
| Independent Health | $251 | 264% |
| Molina | $78 | 82% |
| WellCare | $267 | 280% |
| + 2 smaller / regional plans | $243 - $269 |
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Other Procedures at Cayuga Medical Center at Ithaca
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.