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Price reports for 99204 New patient, moderate-high severity of problem, 45 minutes with patient

PriceCheck journalist

Price charged

$73.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.margaretvillehosp.org/billing-insurance-and-financial-assistance .
Provider: Margaretville Hospital
Phone: 845-586-2631
Address: Margaretville, 42084 State Hwy. 28, NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$75.00

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

$75.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Good Samaritan Hospital
Phone: 631-376-3000
Address: West Islip, 1000 Montauk Hwy., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$82.09

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

$101.55

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

$131.97

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Bayonne Medical Center
Phone: 201-858-5000
Address: Bayonne, 29 E. 29th St., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$131.97

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Christ Hospital
Phone: 201-795-8200
Address: Jersey City, 176 Palisade Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$131.97

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Hoboken University Medical Center
Phone: 201-418-1000
Address: Hoboken, 308 Willow Ave., NJ
Click to get contact details of the provider.
Community member

Price charged

$135.02

Insurance paid

$0.00

You paid

$135.02

Insurer: Aetna
Provider: The Urgent Care - Westbank
Phone: (504) 393-2273
Address: Gretna, 148, Wall Boulevard, LA
Open map
PriceCheck journalist

Price charged

$161.64

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Mercy Hospital
Phone: 516-626-3729
Address: Rockville Centre, 1000 N. Village Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$161.64

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Joseph Hospital
Phone: 516-579-6000
Address: Bethpage, 4295 Hempstead Tpke., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$163.54

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorenyack.org/price-transparency .
Provider: Montefiore - Nyack Hospital
Phone: 845-348-2000
Address: Nyack, 160 N. Midland Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$163.54

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorenyack.org/price-transparency .
Provider: Montefiore - Nyack Hospital
Phone: 845-348-2000
Address: Nyack, 160 N. Midland Ave., NY
Click to get contact details of the provider.
Community member

Price charged

$170.00

Insurance paid

$0.00

You paid

$0.00

Provider: North Atlanta ENT & Allergy
Phone: (678) 679-5070
Address: Alpharetta, 3180, North Point Parkway, GA
Open map
Community member

Price charged

$180.00

Insurance paid

$0.00

You paid

$159.47

Insurer: Horizon Blue Cross Blue Shield of New Jersey
Provider: O'Byrne Eye Clinic
Phone: (985) 231-2209
Address: Mandeville, 1580, West Causeway Approach, LA
Open map
Community member

Price charged

$185.00

Insurance paid

$88.75

You paid

$10.65

Provider: Raska Gary M DMD
Phone: (941) 923-0033
Address: Sarasota, 3940, Swift Road, FL
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PriceCheck journalist

Price charged

$189.44

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://montefiorenewrochelle.org/patients-and-visitors/paying-for-your-care .
Provider: Montefiore New Rochelle
Phone: 914-632-5000
Address: New Rochelle, 16 Guion Pl., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$193.33

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU - Kimmel Pavilion
Phone: 212-263-7300
Address: New York, 424 East 34th St., 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.hahv.org/billing-insurance-and-financial-assistance .
Provider: Health Alliance Mary's Avenue
Phone: 845-331-3131
Address: Kingston, 105 Mary's Ave., 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.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.
Community member

Price charged

$200.00

Insurance paid

$132.87

You paid

$40.00

Insurer: Oxford (UnitedHealthcare)
Provider: Carlyn A. Oppedisano, M.D., FAAP
Phone: (718) 796-3580
Address: The Bronx, 2600, Netherland Avenue, NY
Open map
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.
Community member

Price charged

$205.00

Insurance paid

$0.00

You paid

$179.00

BCBS adjustment -$26. I paid $179, went to deductible.
Insurer: Blue Cross Blue Shield of North Carolina
Provider: Nova Urgent Care-Carteret
Phone: (252) 222-0204
Address: Morehead City, 4370, Arendell Street, NC
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Community member

Price charged

$212.00

Insurance paid

$20.25

You paid

$191.75

Insurer: Premera Blue Cross
Provider: Hand to Shoulder Associates
Phone: (847) 956-0099
Address: Arlington Heights, 515, West Algonquin Road, IL
Open map
Community member

Price charged

$225.00

Insurance paid

$0.00

You paid

$159.47

Insurer: Blue Cross Blue Shield of Louisiana
Provider: Guillot Richard J MD
Phone: (985) 892-3122
Address: Covington, ,, LA
Open map
Community member

Price charged

$240.00

Insurance paid

$145.03

You paid

$20.00

Insurer: Peoples Health
Provider: Steck, Dr. John C. MD
Address: Marrero, 1111 Medical Center Blvd. S-750, LA
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Community member

Price charged

$250.00

Insurance paid

$76.01

You paid

$173.99

The insurance paid is the "adjusted" value or "discounted" value
Insurer: Blue Cross Blue Shield of Kansas
Provider: South Palm Orthospine Institute
Phone: (561) 742-5959
Address: Delray Beach, 15300, Jog Road, FL
Open map
Community member

Price charged

$250.00

Insurance paid

$0.00

You paid

$159.47

Insurer: Anthem Blue Cross Blue Shield
Provider: Slagle David F MD
Phone: (985) 649-0206
Address: Slidell, 1051, Gause Boulevard, LA
Open map
Community member

Price charged

$275.00

Insurance paid

$0.00

You paid

$147.90

Insurer: Blue Cross Blue Shield of Alabama
Provider: Watson Kevin MD
Phone: (504) 899-6391
Address: New Orleans, 3434, Prytania Street, LA
Open map
Community member

Price charged

$285.00

Insurance paid

$68.47

You paid

$216.53

Provider: Saint Alphonsus Medical Center Ontario
Phone: (541) 881-7000
Address: Ontario, 351, Southwest 9th Street, OR
Open map
Community member

Price charged

$303.00

Insurance paid

$279.97

You paid

$0.00

(applied toward deductible).
Insurer: Oxford (UnitedHealthcare)
Provider: Shahid, Syed
Phone: (203) 853-0003
Address: Norwalk, 148, East Avenue, CT
Open map
Community member

Price charged

$320.00

Insurance paid

$0.00

You paid

$259.12

This is for a 10 year old male with no chronic medical problems.
Insurer: Blue Cross Blue Shield of Tennessee
Provider: Singer Andrew M MD
Phone: (865) 525-2640
Address: Knoxville, 2121, Highland Avenue, TN
Open map
PriceCheck journalist

Price charged

$367.25

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://elih.stonybrookmedicine.edu/patients_visitors/patient_financial_services/understanding_your_hospital_charges .
Provider: Stony Brook Eastern Long Island Hospital
Phone: 631-477-1000
Address: Greenport, 201 Manor Pl., NY
Click to get contact details of the provider.
Community member

Price charged

$370.00

Insurance paid

$0.00

You paid

$121.73

They billed CPT code 99204 which is used for a 45 minute visit but instead I was seen for no more than 2 minutes.
Insurer: Coventry Health Care
Provider: Dr. Arthur Segall Jr, DPM
Phone: (954) 434-3221
Address: Cooper City, 5500, South Flamingo Road, FL
Open map
PriceCheck journalist

Price charged

$371.80

Insurance paid

$0.00

You paid

$0.00

Price from pricing page https://www.wphospital.org/patients-visitors/patients/billing-information/standard-charges/.
Provider: White Plains Hospital
Phone: 914-681-0600
Address: White Plains, 41 E. Post Rd., NY
Click to get contact details of the provider.
Community member

Price charged

$380.00

Insurance paid

$0.00

You paid

$188.98

Insurer: Oscar
Provider: Dr. Ronald Minutoli, MD
Phone: (212) 678-0307
Address: New York, 415, Central Park West, NY
Open map
Community member

Price charged

$385.00

Insurance paid

$162.80

You paid

$40.70

Insurer: HighMark Blue Cross Blue Shield
Provider: Hospital of the University of Pennsylvania
Phone: (215) 662-4000
Address: Philadelphia, 3400, Spruce Street, PA
Open map
Community member

Price charged

$391.00

Insurance paid

$199.97

You paid

$191.03

The insurance paid is the "adjusted" value or "discounted" value
Provider: Florida Spine Specialists: Dalton Harold L DO
Phone: (954) 492-3392
Address: Fort Lauderdale, 6000, North Federal Highway, FL
Open map
PriceCheck journalist

Price charged

$392.44

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU - Kimmel Pavilion
Phone: 212-263-7300
Address: New York, 424 East 34th St., NY
Click to get contact details of the provider.
Community member

Price charged

$400.00

Insurance paid

$0.00

You paid

$400.00

Deductible not reached, so insurance did not pay. Called Penn Medicine to try to have the price reduced and they offered a 10% reduction for paying in cash rather than payment plan.
Provider: Robert Mignone, DO
Phone: (215) 795-5600
Address: Robbinsville Township, 1, Union Street, NJ
Open map
Community member

Price charged

$400.00

Insurance paid

$188.25

You paid

$10.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Garcia Rosa M MD
Phone: (305) 274-1054
Address: Miami, 7265, Southwest 93rd Avenue, FL
Open map
PriceCheck journalist

Price charged

$410.00

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

$410.00

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.
PriceCheck journalist

Price charged

$410.00

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.
Community member

Price charged

$431.00

Insurance paid

$187.55

You paid

$50.00

Provider: Tulane Medical Center
Phone: (504) 988-5263
Address: New Orleans, 1415, Tulane Avenue, LA
Open map
Community member

Price charged

$452.00

Insurance paid

$0.00

You paid

$390.51

Doctor actually spent 10-15 minutes with me. And the problem was light pain in wrist
Insurer: Premera Blue Cross
Provider: Swedish Cherry Hill Campus
Phone: (206) 320-2000
Address: Seattle, 500, 17th Avenue, WA
Open map
PriceCheck journalist

Price charged

$458.94

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

$472.82

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

$475.00

Insurance paid

$113.36

You paid

$50.00

Appointment to establish care.
Insurer: Aetna
Provider: North Carolina Heart & Vascular (Raleigh)
Phone: (919) 787-5380
Address: Raleigh, 2800, Blue Ridge Road, NC
Open map
Community member

Price charged

$501.00

Insurance paid

$283.74

You paid

$217.26

Spine specialist, first consultation, spent less than 20 minutes with doctor, explained my options are: physical therapy, steroids injection or surgery
Provider: Matthew Geck, MD
Phone: (512) 324-3580
Address: Austin, 1600, West 38th Street, TX
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What Medicare pays here?

New patient, moderate-high severity of problem, 45 minutes with patient
Region Price
Alabama $123.37
Alaska $176.98
Arizona $128.88
Arkansas $123.36
Anaheim/Santa Ana, CA $140.44
Los Angeles, CA $137.18
Marin/Napa/Solano, CA $140.47
Oakland/Berkeley, CA $141.75
Rest of California $132.92
San Francisco, CA $146.80
San Mateo, CA $146.58
Santa Clara, CA $146.41
Ventura, CA $138.13
Colorado $132.15
Connecticut $138.99
DC + MD/VA Suburbs $144.49
Delaware $133.38
Fort Lauderdale, FL $137.65
Miami, FL $144.08
Rest of Florida $132.16
Atlanta, GA $131.74
Rest of Georgia $128.09
Hawaii/Guam $134.46
Idaho $123.96
Chicago, IL $140.11
East St. Louis, IL $134.82
Rest of Illinois $129.84
Suburban Chicago, IL $138.16
Indiana $123.56
Iowa $123.46
Kansas $125.06
Kentucky $125.49
New Orleans, LA $132.02
Rest of Louisiana $128.62
Rest of Maine $125.87
Southern Maine $128.94
Baltimore/Surr. Cntys, MD $138.85
Rest of Maryland $133.78
Metropolitan Boston $136.19
Rest of Massachusetts $135.81
Detroit, MI $136.02
Rest of Michigan $128.40
Minnesota $126.75
Mississippi $121.73
Metropolitan Kansas City, MO $130.40
Metropolitan St Louis, MO $130.11
Rest of Missouri $126.19
Montana $135.96
Nebraska $122.78
Nevada $131.28
New Hampshire $133.18
Northern NJ $140.79
Rest of New Jersey $137.25
New Mexico $130.20
Manhattan, NY $146.88
NYC Suburbs/Long I., NY $150.86
Poughkpsie/N NYC Suburbs, NY $137.48
Queens, NY $151.43
Rest of New York $126.32
North Carolina $126.39
North Dakota $127.70
Ohio $128.23
Oklahoma $126.91
Portland, OR $132.36
Rest of Oregon $128.35
Metropolitan Philadelphia, PA $138.64
Rest of Pennsylvania $129.13
Puerto Rico $131.36
Rhode Island $135.34
South Carolina $124.63
South Dakota $126.56
Tennessee $124.03
Austin, TX $130.02
Beaumont, TX $127.22
Brazoria, TX $131.61
Dallas, TX $130.98
Fort Worth, TX $129.38
Galveston, TX $132.11
Houston, TX $132.88
Rest of Texas $127.40
Utah $129.80
Vermont $128.66
Virgin Islands $131.36
Virginia $129.98
Rest of Washington $130.84
Seattle (King Cnty), WA $138.29
West Virginia $128.27
Wisconsin $124.69
Wyoming $130.27
Bakersfield, CA $132.71
Chico, CA $132.29
El Centro, CA $132.35
Fresno, CA $132.29
Hanford-Corcoran, CA $132.37
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $139.27
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $139.27
Madera, CA $132.29
Merced, CA $132.29
Modesto, CA $132.29
Napa, CA $141.12
Oxnard-Thousand Oaks-Ventura, CA $137.15
Redding, CA $132.29
Riverside-San Bernardino-Ontario, CA $133.82
Sacramento--Roseville--Arden-Arcade, CA $133.55
Salinas, CA $133.78
San Diego-Carlsbad, CA $134.12
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $145.08
San Francisco-Oakland-Hayward (Marin Cnty), CA $143.26
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $145.08
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $145.08
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $140.13
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $146.58
San Luis Obispo-Paso Robles-Arroyo Grande, CA $132.65
Santa Cruz-Watsonville, CA $136.30
Santa Maria-Santa Barbara, CA $135.21
Santa Rosa, CA $134.65
Stockton-Lodi, CA $132.29
Vallejo-Fairfield, CA $141.12
Visalia-Porterville, CA $132.29
Yuba City, CA $132.29
Rest Of California, CA $132.29
Hawaii, GUam $133.61
Metropolitan Boston, MA $140.98

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