CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Suny/Stony Brook University Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 0.9× the $136 Medicare rate · typically $96–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
Below the fair price — a good deal
about $24 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $121 This hospital $97 Cash price $608 Hospital's list price $608

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 $97

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $121 (about 0.9× the $136 Medicare rate). Suny/Stony Brook University Hospital charges insurers about $97, or about $608 in cash — below the fair price — a good deal. Located in Stony Brook, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $96 - $4,255 71%
Blue Cross Blue Shieldmajor $96 71%
Aetnamajor $96 - $97 71%
EmblemHealth $97 72%
Fidelis Care $96 71%
+ 5 smaller / regional plans $96 - $159
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: Health Sciences Center SUNY, Stony Brook, NY 11794
  • CMS Rating: ★★★★★
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals