CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Chsli St Joseph Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$75
about 0.8× the $95 Medicare rate · typically $58–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
Above the fair price
about $37 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $75 This hospital $112 Hospital's list price $310

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 $56 Priciest $112

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 $75 (about 0.8× the $95 Medicare rate). Chsli St Joseph Hospital charges insurers about $112 — above the fair price. Located in Bethpage, 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 $75. 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 $65 - $298 68%
Blue Cross Blue Shieldmajor $227 - $298 238%
Aetnamajor $155 163%
Cignamajor $155 - $202 163%
AmeriHealth $140 147%
MVP Health Care $155 163%
Oscar Health $127 133%
UniCare $202 212%
+ 33 smaller / regional plans $62 - $310
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: 4295 Hempstead Turnpike, Bethpage, NY 11714
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals