CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Catherine of Siena Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 0.9× the $118 Medicare rate · typically $86–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
Below the fair price — a good deal
about $12 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $104 This hospital $92 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 $69 Priciest $92

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

A fair price for a New patient office visit (30-44 min) is about $104 (about 0.9× the $118 Medicare rate). St Catherine of Siena Hospital charges insurers about $92 — below the fair price — a good deal. Located in Smithtown, 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✓ 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 $43 - $298 37%
Blue Cross Blue Shieldmajor $155 - $298 132%
Aetnamajor $155 - $248 132%
Cignamajor $155 - $202 132%
AmeriHealth $140 119%
Fidelis Care $73 62%
MVP Health Care $155 132%
Oscar Health $127 108%
UniCare $202 172%
+ 36 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.

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Facility Profile & Credentials

  • Address: 50 Route 25A, Smithtown, NY 11787
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals