CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Ira Davenport Memorial Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$112
about 0.8× the $136 Medicare rate · typically $110–$183
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $112 Cash price $151 Hospital's list price $180
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $113 - $359 | 83% |
| Blue Cross Blue Shieldmajor | $66 - $1,037 | 49% |
| Aetnamajor | $113 - $305 | 83% |
| Cignamajor | $94 - $213 | 69% |
| Humanamajor | $91 - $308 | 67% |
| AmeriHealth | $92 | 68% |
| Fidelis Care | $66 - $188 | 49% |
| Geisinger | $88 - $199 | 65% |
| Independent Health | $98 - $222 | 72% |
| MVP Health Care | $94 - $213 | 69% |
| UPMC Health Plan | $104 - $236 | 77% |
| + 6 smaller / regional plans | $66 - $1,126 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Ira Davenport Memorial Hospital
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 John's Episcopal Hospital at South Shore · Far Rockaway $94
- St James Hospital · Hornell $95
- St John's Riverside Hospital · Yonkers $96
Insurance negotiated median for the same procedure, sorted lowest first.