Office visit, established patient (30-39 min)
Facility: St John's Episcopal Hospital at South Shore
Billing Code: 99214 (CPT)
A typical price — 3 charge more and 5 charge less, among the 9 NY hospitals compared.
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 $116 (about 0.9× the $136 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $94, or about $1,298 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
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 | $94 - $1,145 | 69% |
| Blue Cross Blue Shieldmajor | $62 - $1,619 | 46% |
| Aetnamajor | $94 - $763 | 69% |
| Humanamajor | $94 | 69% |
| Fidelis Care | $94 | 69% |
| MagnaCare | $1,196 | 882% |
| Molina | $103 | 76% |
| WellCare | $94 | 69% |
| + 11 smaller / regional plans | $78 - $1,151 |
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 St John's Episcopal Hospital at South Shore
Compare: Office visit, established patient (30-39 min) at other NY hospitals
- Westchester Medical Center · Valhalla $72
- Oswego Hospital · Oswego $82
- UPMC Chautauqua at Wca · Jamestown $84
- Olean General Hospital · Olean $86
- Westfield Memorial Hospital Inc · Westfield $92
- St James Hospital · Hornell $95
- St John's Riverside Hospital · Yonkers $96
- Suny/Stony Brook University Hospital · Stony Brook $97
Insurance negotiated median for the same procedure, sorted lowest first.