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

Fr████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Ma█████████████████████
Address: Margaretville, ███████████████████, NY
PriceCheck journalist

Price charged

$75.00

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████
Provider: Ca███████████████████████████████████
Address: Roslyn, █████████████████████████, NY
PriceCheck journalist

Price charged

$75.00

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████
Provider: Ca██████████████████████████████████████
Address: West Islip, █████████████████, NY
PriceCheck journalist

Price charged

$82.09

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████
Provider: St███████████████████████████
Address: Newark, ████████████████, NJ
PriceCheck journalist

Price charged

$101.55

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████
Provider: St███████████████████
Address: Denville, █████████████, NJ
PriceCheck journalist

Price charged

$131.97

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: Ca████████████████████████████████████████
Address: Bayonne, ██████████████, NJ
PriceCheck journalist

Price charged

$131.97

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: Ca█████████████████████████████████
Address: Jersey City, █████████████████, NJ
PriceCheck journalist

Price charged

$131.97

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: Ca███████████████████████████████████████████████████
Address: Hoboken, ███████████████, NJ
Community member

Price charged

$135.02

Insurance paid

$0.00

You paid

$135.02

Insurer: Aetna
Provider: Thhe Urgent Care - Westbank
Address: Gretna, 148, Wall Boulevard, LA
PriceCheck journalist

Price charged

$161.64

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████
Provider: Ca█████████████████████████████
Address: Rockville Centre, ████████████████████, NY
PriceCheck journalist

Price charged

$161.64

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████
Provider: Ca██████████████████████████████████
Address: Bethpage, ████████████████████, NY
PriceCheck journalist

Price charged

$163.54

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████
Provider: Mo██████████████████████████
Address: Nyack, ███████████████████, NY
PriceCheck journalist

Price charged

$163.54

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████
Provider: Mo██████████████████████████
Address: Nyack, ███████████████████, NY
Community member

Price charged

$170.00

Insurance paid

$0.00

You paid

$0.00

Provider: Noorth Atlanta ENT & Allergy
Address: Alpharetta, 3180, North Point Parkway, GA
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
Address: Mandeville, 1580, West Causeway Approach, LA
Community member

Price charged

$185.00

Insurance paid

$88.75

You paid

$10.65

Provider: Raaska Gary M DMD
Address: Sarasota, 3940, Swift Road, FL
PriceCheck journalist

Price charged

$189.44

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Mo██████████████████████
Address: New Rochelle, ████████████, NY
PriceCheck journalist

Price charged

$193.33

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY████████████████████
Address: New York, █████████████████, NY
PriceCheck journalist

Price charged

$200.00

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: He████████████████████████████
Address: Kingston, ███████████████, NY
PriceCheck journalist

Price charged

$200.00

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Mi██████████████████████████
Address: Poughkeepsie, █████████████, NY
Community member

Price charged

$200.00

Insurance paid

$132.87

You paid

$40.00

Insurer: Oxford (UnitedHealthcare)
Provider: Caarlyn A. Oppedisano, M.D., FAAP
Address: The Bronx, 2600, Netherland Avenue, NY
PriceCheck journalist

Price charged

$200.00

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: We█████████████████████████
Address: Valhalla, █████████████, NY
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: Noova Urgent Care-Carteret
Address: Morehead City, 4370, Arendell Street, NC
Community member

Price charged

$212.00

Insurance paid

$20.25

You paid

$191.75

Insurer: Premera Blue Cross
Provider: Haand to Shoulder Associates
Address: Arlington Heights, 515, West Algonquin Road, IL
Community member

Price charged

$225.00

Insurance paid

$0.00

You paid

$159.47

Insurer: Blue Cross Blue Shield of Louisiana
Provider: Guuillot Richard J MD
Address: Covington, ,, LA
Community member

Price charged

$240.00

Insurance paid

$145.03

You paid

$20.00

Insurer: Peoples Health
Provider: Stteck, Dr. John C. MD
Address: Marrero, 1111 Medical Center Blvd. S-750, LA
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: Soouth Palm Orthospine Institute
Address: Delray Beach, 15300, Jog Road, FL
Community member

Price charged

$250.00

Insurance paid

$0.00

You paid

$159.47

Insurer: Anthem Blue Cross Blue Shield
Provider: Sllagle David F MD
Address: Slidell, 1051, Gause Boulevard, LA
Community member

Price charged

$275.00

Insurance paid

$0.00

You paid

$147.90

Insurer: Blue Cross Blue Shield of Alabama
Provider: Waatson Kevin MD
Address: New Orleans, 3434, Prytania Street, LA
Community member

Price charged

$285.00

Insurance paid

$68.47

You paid

$216.53

Provider: Saaint Alphonsus Medical Center Ontario
Address: Ontario, 351, Southwest 9th Street, OR
Community member

Price charged

$303.00

Insurance paid

$279.97

You paid

$0.00

(applied toward deductible).
Insurer: Oxford (UnitedHealthcare)
Provider: Shhahid, Syed
Address: Norwalk, 148, East Avenue, CT
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: Siinger Andrew M MD
Address: Knoxville, 2121, Highland Avenue, TN
PriceCheck journalist

Price charged

$367.25

Insurance paid

$0.00

You paid

$0.00

Pr███████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: St███████████████████████████████████████
Address: Greenport, █████████████, NY
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: Drr. Arthur Segall Jr, DPM
Address: Cooper City, 5500, South Flamingo Road, FL
PriceCheck journalist

Price charged

$371.80

Insurance paid

$0.00

You paid

$0.00

Pr███████████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Wh████████████████████
Address: White Plains, ██████████████, NY
Community member

Price charged

$380.00

Insurance paid

$0.00

You paid

$188.98

Insurer: Oscar
Provider: Drr. Ronald Minutoli, MD
Address: New York, 415, Central Park West, NY
Community member

Price charged

$385.00

Insurance paid

$162.80

You paid

$40.70

Insurer: HighMark Blue Cross Blue Shield
Provider: Hoospital of the University of Pennsylvania
Address: Philadelphia, 3400, Spruce Street, PA
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: Fllorida Spine Specialists: Dalton Harold L DO
Address: Fort Lauderdale, 6000, North Federal Highway, FL
PriceCheck journalist

Price charged

$392.44

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY████████████████████
Address: New York, █████████████████, NY
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: Roobert Mignone, DO
Address: Robbinsville Township, 1, Union Street, NJ
Community member

Price charged

$400.00

Insurance paid

$188.25

You paid

$10.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Gaarcia Rosa M MD
Address: Miami, 7265, Southwest 93rd Avenue, FL
PriceCheck journalist

Price charged

$410.00

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████
Provider: St█████████████████████████████
Address: Warwick, █████████████, NY
PriceCheck journalist

Price charged

$410.00

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Bo█████████████████████████████
Address: Port Jervis, ███████████████, NY
PriceCheck journalist

Price charged

$410.00

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████
Provider: Go██████████████████████
Address: Suffern, ██████████████████, NY
Community member

Price charged

$431.00

Insurance paid

$187.55

You paid

$50.00

Provider: Tuulane Medical Center
Address: New Orleans, 1415, Tulane Avenue, LA
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: Swwedish Cherry Hill Campus
Address: Seattle, 500, 17th Avenue, WA
PriceCheck journalist

Price charged

$458.94

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████
Provider: Ya██████████████████████
Address: New Haven, ███████████, CT
PriceCheck journalist

Price charged

$472.82

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████
Provider: St██████████████████████████████
Address: Stony Brook, ███████████████, NY
Community member

Price charged

$475.00

Insurance paid

$113.36

You paid

$50.00

Appointment to establish care.
Insurer: Aetna
Provider: Noorth Carolina Heart & Vascular (Raleigh)
Address: Raleigh, 2800, Blue Ridge Road, NC
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: Maatthew Geck, MD
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