Office visit, established patient (20-29 min)
Facility: Margaretville Memorial Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
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 $88 (about 0.9× the $95 Medicare rate). Margaretville Memorial Hospital charges insurers about $162, or about $259 in cash — well above the fair price. Located in Margaretville, 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 $88. 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.
3 of 6 major insurers have a published price at this hospital
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 | $114 - $22,000 | 120% |
| Blue Cross Blue Shieldmajor | $114 - $22,000 | 120% |
| Aetnamajor | $114 - $32,500 | 120% |
| CDPHP | $125 - $24,200 | 131% |
| MagnaCare | $181 - $207 | 190% |
| Molina | $120 - $23,100 | 126% |
| MVP Health Care | $114 - $22,000 | 120% |
| + 5 smaller / regional plans | $114 - $22,000 |
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.
Other Procedures at Margaretville Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other NY hospitals
- Oswego Hospital · Oswego $56
- UPMC Chautauqua at Wca · Jamestown $59
- Westchester Medical Center · Valhalla $63
- St John's Episcopal Hospital at South Shore · Far Rockaway $64
- St James Hospital · Hornell $65
- St John's Riverside Hospital · Yonkers $65
- Wyckoff Heights Medical Center · Brooklyn $66
- Suny/Stony Brook University Hospital · Stony Brook $66
Insurance negotiated median for the same procedure, sorted lowest first.