CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Helen Hayes Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$71
about 0.7× the $95 Medicare rate · typically $61–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
Above the fair price
about $32 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $71 This hospital $103 Cash price $366 Hospital's list price $366

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 $103

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 (20-29 min) is about $71 (about 0.7× the $95 Medicare rate). Helen Hayes Hospital charges insurers about $103, or about $366 in cash — above the fair price. Located in West Haverstraw, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $71. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Cigna Blue Cross Blue ShieldAetnaHumanaKaiser 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 $45 - $284 47%
Cignamajor $274 288%
CDPHP $274 288%
Fidelis Care $260 273%
MVP Health Care $160 - $167 168%
+ 4 smaller / regional plans $22 - $175

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 51 North Route 9W, West Haverstraw, NY 10993
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals