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Price reports for 99201 Office/outpatient visit new

PriceCheck journalist

Price charged

$41.89

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.saintclares.com/463483967_SaintClaresHealth_standardcharges.json .
Provider: St. Clare's Denville
Phone: 973-625-6000
Address: Denville, 25 Pocono Rd., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$48.76

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.smmcnj.com/for-patients-visitors/financial-assistance/ .
Provider: St. Michael's Medical Center
Phone: 973-877-5000
Address: Newark, 111 Central Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$95.48

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.ynhh.org/patients-visitors/billing-insurance/Pricing .
Provider: Yale-New Haven Hospital
Phone: 203-688-4242
Address: New Haven, 20 York St., CT
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$112.50

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Phone: 516-562-6000
Address: Roslyn, 100 Port Washington Blvd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$160.25

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://southampton.stonybrookmedicine.edu/patients-visitors/financial-services/hospital-charges .
Provider: Stony Brook Southampton Hospital
Phone: 631-726-8200
Address: Southampton, 240 Meeting House Lane, NY
Click to get contact details of the provider.
Community member

Price charged

$198.00

Insurance paid

$91.36

You paid

$106.64

This was not for a doctor, this was to see a PA (physicians assistant). We were never told we were not seeing a doctor. At the conclusion of the visit, the PA told us that he was not a doctor and he was not authorized to prescribe anything for the diagnosis. When we showed up, we told the person why we were there, I was having an anxiety attack. He said, I have to do some tests on you to be sure - xrays and ekg. Then after finishing, he said, yep, you are having an anxiety attack. I am not authorized to do anything for you. They xray and ekg were an extra $102 and $75. Bottom line, $375 and I received nothing at all when I was done.
Provider: St. Charles Urgent Care
Phone: (985) 235-0010
Address: Destrehan, 13100, River Road, LA
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PriceCheck journalist

Price charged

$200.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.midhudsonregional.org/billing-insurance-and-financial-assistance .
Provider: MidHudson Regional Hospital
Phone: 845-483-5000
Address: Poughkeepsie, 241 North Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$200.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.westchestermedicalcenter.org/billing-insurance-and-financial-assistance .
Provider: Westchester Medical Center
Phone: 914-493-7000
Address: Valhalla, 100 Woods Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$205.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stanthonycommunityhosp.org/navigation/1652 .
Provider: St. Anthony Community Hospital
Phone: 845-986-2276
Address: Warwick, 15 Maple Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$205.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/navigation/1652 .
Provider: Good Samaritan Hospital
Phone: 845-368-5000
Address: Suffern, 255 Lafayette Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$205.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/billing-insurance-and-financial-assistance .
Provider: Bon Secours Community Hospital
Phone: 845-858-7000
Address: Port Jervis, 160 E. Main St., NY
Click to get contact details of the provider.
Community member

Price charged

$217.00

Insurance paid

$126.42

You paid

$90.58

Provider: Sarasota Orthopedic Associates
Phone: (941) 951-2663
Address: Sarasota, 2750, Bahia Vista Street, FL
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Community member

Price charged

$245.00

Insurance paid

$34.38

You paid

$50.00

I visited Primecare only to get a referral to dermatologist, was seen by a nurse practitioner for just a few minutes and was charged $245.00! If you don't visit your doctor for 2 years they consider you as a new patient and charge you extra for that.
Insurer: UnitedHealthOne
Provider: Primecare of Coral Gables: Rosen Jeffrey MD
Phone: (305) 443-3001
Address: Coral Gables, 299, Alhambra Circle, FL
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PriceCheck journalist

Price charged

$276.90

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stonybrookmedicine.edu/patientcare/oon/charges .
Provider: Stony Brook University Hospital
Phone: (631) 689-8333
Address: Stony Brook, 101 Nicolls Rd., NY
Click to get contact details of the provider.
Community member

Price charged

$300.00

Insurance paid

$0.00

You paid

$245.67

Because I had to come in for an additional test on another date, provider kindly didn't charge me.
Insurer: Fidelis Care (NY)
Provider: Dr. Arthur Lubitz MD - West Side
Phone: (212) 247-7447
Address: New York, 315, West 57th Street, NY
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Community member

Price charged

$302.00

Insurance paid

$94.00

You paid

$208.00

Insurer: Aetna
Provider: CityMD Teterboro Urgent Care - New Jersey
Phone: (201) 354-1953
Address: Teterboro, 16, Teterboro Landing Drive, NJ
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Community member

Price charged

$316.00

Insurance paid

$193.96

You paid

$122.04

Insurer: Anthem Blue Cross Blue Shield
Provider: University Medical Group Llc
Address: Augusta, 3486, Peach Orchard Road, GA
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PriceCheck journalist

Price charged

$412.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiore.org/information-about-charges .
Provider: Montefiore Medical Center
Phone: 718-920-4321
Address: Bronx, 111 E. 210th St., NY
Click to get contact details of the provider.
Community member

Price charged

$440.00

Insurance paid

$302.84

You paid

$137.16

establish new provider. medication refill request.
Insurer: UnitedHealthcare
Provider: Florida Hospital Physician Group
Phone: (813) 929-5458
Address: Tampa, 12470, Telecom Drive, FL
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Community member

Price charged

$478.00

Insurance paid

$115.55

You paid

$20.00

20.00 COPAY PAID
Insurer: Blue Cross Blue Shield of South Carolina
Provider: Leonard J. Chabert Medical Center
Phone: (985) 873-2200
Address: Houma, 1978, Industrial Boulevard, LA
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Community member

Price charged

$499.00

Insurance paid

$148.56

You paid

$350.44

First office visit, for pediatric endocrinology. Approximately, 15 mins with doctor to be told that new labs were needed, none of the records sent were useable by them. This is their charge to tell us we needed to do follow up appointments with their lab for new tests.
Insurer: Blue Cross Blue Shield of Illinois
Provider: Rachel Marie Cazeau, MD
Phone: (407) 896-2901
Address: Winter Park, 1801, Lee Road, FL
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Community member

Price charged

$513.00

Insurance paid

$0.00

You paid

$258.06

I have a high deductible plan. Payment represents amount approved by insurance.
Insurer: Coventry Health Care
Provider: Cleveland Clinic Weston
Address: ,
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Community member

Price charged

$538.00

Insurance paid

$0.00

You paid

$518.00

2 visits to immediate care center for unknown issue with many symptoms of hyperthyroidism. Lab work performed to rule out hyperthyroidism.
Provider: Advocate Sherman Outpatient and Immediate Care Center
Phone: (224) 783-4440
Address: Elgin, 2320, Royal Boulevard, IL
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Community member

Price charged

$547.15

Insurance paid

$23.33

You paid

$85.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Dr. Sandra Gotman R, DPM
Phone: (305) 672-8768
Address: Miami Beach, 400, Arthur Godfrey Road, FL
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Community member

Price charged

$582.00

Insurance paid

$452.78

You paid

$113.20

Insurer: UnitedHealthcare
Provider: David A. Hyman MD
Phone: (414) 281-4466
Address: Greenfield, 4600, West Loomis Road, WI
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Community member

Price charged

$736.00

Insurance paid

$0.00

You paid

$274.02

For interpretation of hip MRI and xrays
Insurer: Fidelis Care (NY)
Provider: Michael Anthony Zacchilli, MD
Phone: (646) 665-6784
Address: New York, 200, West 13th Street, NY
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PriceCheck journalist

Price charged

$36,721.60

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/index.html .
Provider: University Hospital at SUNY Downstate
Phone: 718-270-1000
Address: Brooklyn, 450 Clarkson Ave., NY
Click to get contact details of the provider.

What Medicare pays here?

Office/outpatient visit new
Region Price
Alabama $25.56
Alaska $36.48
Arizona $26.85
Arkansas $25.56
Anaheim/Santa Ana, CA $29.37
Los Angeles, CA $28.64
Marin/Napa/Solano, CA $29.35
Oakland/Berkeley, CA $29.63
Rest of California $27.69
San Francisco, CA $30.75
San Mateo, CA $30.70
Santa Clara, CA $30.64
Ventura, CA $28.87
Colorado $27.61
Connecticut $29.14
DC + MD/VA Suburbs $30.34
Delaware $27.88
Fort Lauderdale, FL $28.93
Miami, FL $30.45
Rest of Florida $27.64
Atlanta, GA $27.52
Rest of Georgia $26.68
Hawaii/Guam $28.13
Idaho $25.70
Chicago, IL $29.48
East St. Louis, IL $28.27
Rest of Illinois $27.09
Suburban Chicago, IL $29.00
Indiana $25.60
Iowa $25.58
Kansas $25.96
Kentucky $26.07
New Orleans, LA $27.60
Rest of Louisiana $26.81
Rest of Maine $26.15
Southern Maine $26.85
Baltimore/Surr. Cntys, MD $29.11
Rest of Maryland $27.97
Metropolitan Boston $28.49
Rest of Massachusetts $28.40
Detroit, MI $28.54
Rest of Michigan $26.75
Minnesota $26.33
Mississippi $25.18
Metropolitan Kansas City, MO $27.21
Metropolitan St Louis, MO $27.15
Rest of Missouri $26.24
Montana $28.53
Nebraska $25.41
Nevada $27.40
New Hampshire $27.85
Northern NJ $29.48
Rest of New Jersey $28.71
New Mexico $27.18
Manhattan, NY $30.89
NYC Suburbs/Long I., NY $31.87
Poughkpsie/N NYC Suburbs, NY $28.81
Queens, NY $31.97
Rest of New York $26.25
North Carolina $26.27
North Dakota $26.56
Ohio $26.71
Oklahoma $26.40
Portland, OR $27.62
Rest of Oregon $26.73
Metropolitan Philadelphia, PA $29.07
Rest of Pennsylvania $26.92
Puerto Rico $27.43
Rhode Island $28.27
South Carolina $25.85
South Dakota $26.29
Tennessee $25.71
Austin, TX $27.11
Beaumont, TX $26.47
Brazoria, TX $27.42
Dallas, TX $27.30
Fort Worth, TX $26.94
Galveston, TX $27.54
Houston, TX $27.72
Rest of Texas $26.51
Utah $27.08
Vermont $26.78
Virgin Islands $27.43
Virginia $27.11
Rest of Washington $27.30
Seattle (King Cnty), WA $28.94
West Virginia $26.74
Wisconsin $25.86
Wyoming $27.17
Bakersfield, CA $27.66
Chico, CA $27.56
El Centro, CA $27.57
Fresno, CA $27.56
Hanford-Corcoran, CA $27.58
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $29.10
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $29.10
Madera, CA $27.56
Merced, CA $27.56
Modesto, CA $27.56
Napa, CA $29.49
Oxnard-Thousand Oaks-Ventura, CA $28.67
Redding, CA $27.56
Riverside-San Bernardino-Ontario, CA $27.92
Sacramento--Roseville--Arden-Arcade, CA $27.83
Salinas, CA $27.89
San Diego-Carlsbad, CA $27.97
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $30.34
San Francisco-Oakland-Hayward (Marin Cnty), CA $29.95
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $30.34
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $30.34
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $29.27
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $30.66
San Luis Obispo-Paso Robles-Arroyo Grande, CA $27.64
Santa Cruz-Watsonville, CA $28.45
Santa Maria-Santa Barbara, CA $28.20
Santa Rosa, CA $28.09
Stockton-Lodi, CA $27.56
Vallejo-Fairfield, CA $29.49
Visalia-Porterville, CA $27.56
Yuba City, CA $27.56
Rest Of California, CA $27.56
Hawaii, GUam $27.92
Metropolitan Boston, MA $29.55

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