CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Little Falls Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.8× the $118 Medicare rate · typically $67–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
Above the fair price
about $69 over the fair price · 1.4× Medicare
Medicare pays $118 Fair price $94 This hospital $163 Cash price $96 Hospital's list price $191

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 $163

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 $94 (about 0.8× the $118 Medicare rate). Little Falls Hospital charges insurers about $163, or about $96 in cash — above the fair price. Located in Little Falls, 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 $94. 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.

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 $50 - $153 43%
Blue Cross Blue Shieldmajor $53 - $358 45%
Aetnamajor $54 - $283 46%
Cignamajor $153 - $162 130%
Humanamajor $54 46%
CDPHP $52 - $291 44%
Fidelis Care $54 - $387 46%
MVP Health Care $52 - $191 44%
+ 1 smaller / regional plan $34 - $162
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals