CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Helen Hayes Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$110
about 0.8× the $136 Medicare rate · typically $92–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
About the fair price
about $3 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $110 This hospital $113 Cash price $560 Hospital's list price $560

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 $72 Priciest $113

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 $110 (about 0.8× the $136 Medicare rate). Helen Hayes Hospital charges insurers about $113, or about $560 in cash — about the fair price. Located in West Haverstraw, NY.

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 $67 - $284 49%
Cignamajor $420 310%
Fidelis Care $260 192%
MVP Health Care $160 118%
+ 4 smaller / regional plans $34 - $234

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.

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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