CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Barnabas Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.8× the $95 Medicare rate · typically $64–$167
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $2 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $75 This hospital $73 Cash price $74 Hospital's list price $269

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 $73

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). St Barnabas Hospital charges insurers about $73, or about $74 in cash — about the fair price. Located in Bronx, 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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $222 233%
Aetnamajor $40 42%
Cignamajor $51 - $217 54%
EmblemHealth $38 - $250 40%
Fidelis Care $66 - $73 69%
+ 11 smaller / regional plans $26 - $250

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals