CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$98
about 0.8× the $118 Medicare rate · typically $80–$180
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
Below the fair price — a good deal
about $18 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $98 This hospital $80 Cash price $456 Hospital's list price $456

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 6 of 8 other NY hospitals charge more for the same procedure.

Cheapest $69 Priciest $84

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 New patient office visit (30-44 min) is about $98 (about 0.8× the $118 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $80, or about $456 in cash — below the fair price — a good deal. Located in Far Rockaway, NY.

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✓ Humana CignaKaiser 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 $80 - $210 68%
Blue Cross Blue Shieldmajor $62 - $80 53%
Aetnamajor $80 - $111 68%
Humanamajor $80 68%
Fidelis Care $80 68%
Molina $88 75%
WellCare $80 68%
+ 10 smaller / regional plans $66 - $179

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 327 Beach 19Th Street, Far Rockaway, NY 11691
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals