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Price reports for 99213 Office Visit

Community member

Price charged

$64.00

Insurance paid

$33.62

You paid

$0.00

Medicare supplement paid 8.4.
Insurer: Medicare
Provider: Scheyd, Dr. Mary MD
Phone: (985) 871-4140
Address: Covington, 1202 S. Tyler St., LA
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PriceCheck journalist

Price charged

$64.23

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

$66.41

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

$72.00

Insurance paid

$0.00

You paid

$72.00

Insurer: Cigna
Provider: MinuteClinic
Phone: (866) 389-2727
Address: Boca Raton, 6651, North Military Trail, FL
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Community member

Price charged

$72.65

Insurance paid

$0.00

You paid

$72.65

Insurer: Cigna
Provider: MinuteClinic
Phone: (866) 389-2727
Address: Boca Raton, 6651, North Military Trail, FL
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Community member

Price charged

$72.74

Insurance paid

$59.25

You paid

$35.00

Insurer: Florida Blue: Blue Cross Blue Shield of Florida
Provider: Manatee County Rural Health
Phone: (941) 747-8404
Address: Bradenton, 250, 2nd St E # 4G, FL
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Community member

Price charged

$75.00

Insurance paid

$61.15

You paid

$13.85

Insurer: Aetna
Provider: Bouza, Manuel MD/ Bouza & Miralles Medical Associates
Phone: (305) 696-0331
Address: Hialeah, 690, East 25th Street, FL
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Community member

Price charged

$78.00

Insurance paid

$15.25

You paid

$62.75

Insurer: Anthem Blue Cross Blue Shield
Provider: UA Student Services Center
Address: Tuscaloosa, 880-898, Campus Drive West, AL
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PriceCheck journalist

Price charged

$79.69

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

$80.00

Insurance paid

$0.00

You paid

$66.83

Medicare supplement paid 0.
Insurer: Medicare
Provider: Saguiguit, Dr. Roy MD
Phone: (985) 892-5855
Address: Covington, 1113 S. Tyler St., LA
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Community member

Price charged

$80.00

Insurance paid

$0.00

You paid

$66.83

Medicare supplement paid 0.
Insurer: Medicare
Provider: Saguiguit, Dr. Roy MD
Phone: (985) 892-5855
Address: Covington, 1113 S. Tyler St., LA
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Community member

Price charged

$80.00

Insurance paid

$53.65

You paid

$0.00

Medicare supplement paid 13.41.
Insurer: Medicare
Provider: Saguiguit, Dr. Roy MD
Phone: (985) 892-5855
Address: Covington, 1113 S. Tyler St., LA
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Community member

Price charged

$80.00

Insurance paid

$53.65

You paid

$0.00

Medicare supplement paid 13.41.
Insurer: Medicare
Provider: Saguiguit, Dr. Roy MD
Phone: (985) 892-5855
Address: Covington, 1113 S. Tyler St., LA
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Community member

Price charged

$80.00

Insurance paid

$54.42

You paid

$15.00

Insurer: Blue Cross Blue Shield of Louisiana
Provider: Mac Arthur Primary Care Center: Drez Cherie MD
Phone: (504) 368-4066
Address: New Orleans, 3712, Macarthur Boulevard, LA
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PriceCheck journalist

Price charged

$81.00

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.
Community member

Price charged

$85.00

Insurance paid

$53.65

You paid

$0.00

Medicare supplement paid 13.41.
Insurer: Medicare
Provider: Steele, Dr. Rolston MD
Phone: (985) 893-5780
Address: Covington, 187 Greenbriar Blvd., LA
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Community member

Price charged

$85.00

Insurance paid

$40.00

You paid

$45.00

Provider: Covenant HealthCare
Phone: (989) 583-0000
Address: Saginaw, 900, Cooper Avenue, MI
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Community member

Price charged

$85.00

Insurance paid

$52.68

You paid

$20.00

Insurer: Peoples Health
Provider: Worley, Dr. N. Knight MD
Address: Metairie, 4224 Houma Blvd., LA
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Community member

Price charged

$85.00

Insurance paid

$0.00

You paid

$75.00

Insurer: Aetna
Provider: South Palm Gipa: Chong James MD
Phone: (561) 495-5700
Address: Delray Beach, 4675, Linton Boulevard, FL
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Community member

Price charged

$85.00

Insurance paid

$0.00

You paid

$85.00

Tryin to find affordable health insurance so I can stop paying cash at every visit
Provider: Paducah
Address: Paducah, ,, KY
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Community member

Price charged

$88.00

Insurance paid

$19.48

You paid

$50.00

Doctor charge $88, I paid $50 (copay) and insurance paid $19.48.
Provider: Polek-Nowakow, Dr. E.
Address: Gonzales, 1429 E. Hwy. 30, LA
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Community member

Price charged

$88.00

Insurance paid

$23.13

You paid

$20.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Andrews, Dr. Tricia R.
Address: Jacksonville, 8075 Gate Pkwy. W. No. 201, FL
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Community member

Price charged

$88.00

Insurance paid

$0.00

You paid

$88.00

Provider: Newport Beach
Address: Newport Beach, ,, CA
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Community member

Price charged

$90.00

Insurance paid

$12.91

You paid

$77.09

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Boca Raton Pediatric Associates
Phone: (561) 392-7266
Address: Boca Raton, ,, FL
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PriceCheck journalist

Price charged

$92.71

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.
Community member

Price charged

$95.00

Insurance paid

$0.00

You paid

$50.18

Insurer: Aetna
Provider: Newport Family Practice: Bloomfield R A MD
Phone: (252) 223-5054
Address: Newport, 338, Howard Boulevard, NC
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Community member

Price charged

$95.00

Insurance paid

$0.00

You paid

$88.96

Insurer: Medical Mutual
Provider: Dr. Kent A. Knauer, MD
Phone: (216) 896-1850
Address: Beachwood, 3909, Orange Place, OH
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Community member

Price charged

$95.00

Insurance paid

$50.18

You paid

$0.00

Insurer: Aetna
Provider: Newport Family Practice: Bloomfield R A MD
Phone: (252) 223-5054
Address: Newport, 338, Howard Boulevard, NC
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Community member

Price charged

$95.00

Insurance paid

$0.00

You paid

$69.28

Insurer: Cigna
Provider: GMS Docs - South Tampa GMS Primary Care - Palma Ceia
Phone: (813) 872-3164
Address: Tampa, 508, South Habana Avenue, FL
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Community member

Price charged

$95.00

Insurance paid

$0.00

You paid

$64.56

Insurer: Blue Cross Blue Shield of Illinois
Provider: Terezakis, Dr. Nia MD
Address: Metairie, 3800 Houma Blvd. #310, LA
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Community member

Price charged

$95.00

Insurance paid

$58.11

You paid

$6.45

Insurer: Blue Cross Blue Shield of Illinois
Provider: Terezakis, Dr. Nia MD
Address: Metairie, 3800 Houma Blvd. #310, LA
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Community member

Price charged

$96.00

Insurance paid

$0.00

You paid

$0.00

Insurer: Louisiana Healthcare Connections (Medicaid)
Provider: Ochsner Hospital
Phone: (504) 842-3000
Address: Jefferson, 1514, Jefferson Highway, LA
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Community member

Price charged

$100.00

Insurance paid

$0.00

You paid

$48.70

toward deductible
Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Aran Eye Associates
Phone: (305) 949-7297
Address: Miami, 290, Northwest 165th Street, FL
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Community member

Price charged

$104.00

Insurance paid

$25.53

You paid

$78.47

Insurer: Medicare
Provider: Family Practice Associates Of Upper Dublin
Phone: (215) 646-1686
Address: Fort Washington, 1244, Fort Washington Avenue, PA
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Community member

Price charged

$104.00

Insurance paid

$37.00

You paid

$66.70

Insurer: Medicare
Provider: Horsham Family Practice
Phone: (215) 643-8500
Address: Ambler, 1116, Horsham Road, PA
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Community member

Price charged

$104.00

Insurance paid

$83.00

You paid

$20.99

Insurer: Medicare
Provider: Horsham Family Practice
Phone: (215) 643-8500
Address: Ambler, 1116, Horsham Road, PA
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Community member

Price charged

$104.38

Insurance paid

$79.38

You paid

$25.00

Insurer: Blue Cross Blue Shield of Texas
Provider: Aguilar Family Health Care: Aguilar Nick MD
Phone: (210) 520-2224
Address: San Antonio, 3303, Rogers Road, TX
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Community member

Price charged

$105.00

Insurance paid

$90.00

You paid

$15.00

Insurer: GEHA Health Plans
Provider: Women's Care Inc.
Phone: (419) 756-6000
Address: Mansfield, 500, South Trimble Road, OH
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Community member

Price charged

$106.65

Insurance paid

$85.32

You paid

$21.33

Insurer: Aetna
Provider: Patel Gaurang R MD
Phone: (732) 382-8111
Address: Rahway, 1500, Saint Georges Avenue, NJ
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Community member

Price charged

$109.00

Insurance paid

$40.00

You paid

$10.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Take Care Health Systems
Phone: (954) 764-1584
Address: Fort Lauderdale, 340, Southwest 24th Street, FL
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Community member

Price charged

$115.00

Insurance paid

$87.69

You paid

$20.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Tandron, Dr. Carlos R.
Address: Jacksonville, 1325 San Marco Blvd. Ste. 200, FL
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Community member

Price charged

$115.00

Insurance paid

$55.13

You paid

$59.87

Insurer: Cigna
Provider: Km Allergy And Asthma Center
Phone: (215) 361-5070
Address: Lansdale, 1037, South Broad Street, PA
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Community member

Price charged

$115.22

Insurance paid

$62.11

You paid

$30.00

Insurer: AvMed
Provider: Deborah Longwill PA
Phone: (305) 279-7545
Address: Miami, ,, FL
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Community member

Price charged

$115.60

Insurance paid

$85.60

You paid

$30.00

Amount billed: $180.00, but the member rate was $115.60. An uninsured patient would have been charged $180.
Provider: Nova Medical Group
Phone: (540) 347-0400
Address: Gainesville, 6950, Piedmont Center Plaza, VA
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PriceCheck journalist

Price charged

$116.58

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.
Community member

Price charged

$117.00

Insurance paid

$0.00

You paid

$86.51

Provider wanted to up-code to 99214 for admin of rapid strep test but submitted as 99213 by mistake.
Insurer: Cigna
Provider: Baton Rouge Clinic Pediatrics
Phone: (225) 246-9290
Address: Baton Rouge, 7373, Perkins Road, LA
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Community member

Price charged

$120.00

Insurance paid

$14.05

You paid

$93.27

Provider: Carle Champaign on Curtis
Phone: (217) 365-6200
Address: Champaign, 1701, Curtis Road, IL
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Community member

Price charged

$124.99

Insurance paid

$0.00

You paid

$72.75

Insurer: Aetna
Provider: Weil, Dr. Michael MD
Phone: 985-690-6600
Address: Slidell, 380 Gateway Dr., LA
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Community member

Price charged

$125.00

Insurance paid

$64.75

You paid

$35.00

Insurer: Blue Cross Blue Shield Federal Employee Program
Provider: Wendschuh Philip D MD
Phone: (440) 204-4000
Address: Lorain, 3600, Kolbe Road, OH
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Community member

Price charged

$125.00

Insurance paid

$0.00

You paid

$61.22

out of network,
Provider: Dr. Sandra Gotman R, DPM
Phone: (305) 672-8768
Address: Miami Beach, 400, Arthur Godfrey Road, FL
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Results are limited to 50 items.
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What Medicare pays here?

Office Visit
Region Price
Alabama $49.03
Alaska $70.33
Arizona $51.06
Arkansas $48.98
Anaheim/Santa Ana, CA $55.76
Los Angeles, CA $54.47
Marin/Napa/Solano, CA $55.88
Oakland/Berkeley, CA $56.36
Rest of California $52.82
San Francisco, CA $58.38
San Mateo, CA $58.30
Santa Clara, CA $58.23
Ventura, CA $54.87
Colorado $52.26
Connecticut $54.89
DC + MD/VA Suburbs $57.08
Delaware $52.72
Fort Lauderdale, FL $54.08
Miami, FL $56.26
Rest of Florida $52.11
Atlanta, GA $52.08
Rest of Georgia $50.62
Hawaii/Guam $53.36
Idaho $49.25
Chicago, IL $55.00
East St. Louis, IL $52.95
Rest of Illinois $51.25
Suburban Chicago, IL $54.40
Indiana $49.16
Iowa $49.10
Kansas $49.64
Kentucky $49.71
New Orleans, LA $52.09
Rest of Louisiana $50.77
Rest of Maine $49.94
Southern Maine $51.16
Baltimore/Surr. Cntys, MD $54.81
Rest of Maryland $52.89
Metropolitan Boston $54.00
Rest of Massachusetts $53.72
Detroit, MI $53.48
Rest of Michigan $50.77
Minnesota $50.45
Mississippi $48.43
Metropolitan Kansas City, MO $51.55
Metropolitan St Louis, MO $51.44
Rest of Missouri $49.90
Montana $53.49
Nebraska $48.88
Nevada $51.98
New Hampshire $52.67
Northern NJ $55.77
Rest of New Jersey $54.35
New Mexico $51.38
Manhattan, NY $57.86
NYC Suburbs/Long I., NY $59.18
Poughkpsie/N NYC Suburbs, NY $54.25
Queens, NY $59.43
Rest of New York $50.15
North Carolina $50.13
North Dakota $50.74
Ohio $50.71
Oklahoma $50.21
Portland, OR $52.48
Rest of Oregon $50.87
Metropolitan Philadelphia, PA $54.69
Rest of Pennsylvania $51.06
Puerto Rico $51.97
Rhode Island $53.56
South Carolina $49.50
South Dakota $50.35
Tennessee $49.27
Austin, TX $51.56
Beaumont, TX $50.39
Brazoria, TX $52.15
Dallas, TX $51.93
Fort Worth, TX $51.30
Galveston, TX $52.35
Houston, TX $52.61
Rest of Texas $50.49
Utah $51.26
Vermont $51.09
Virgin Islands $51.97
Virginia $51.46
Rest of Washington $51.81
Seattle (King Cnty), WA $54.77
West Virginia $50.58
Wisconsin $49.63
Wyoming $51.59
Bakersfield, CA $52.70
Chico, CA $52.56
El Centro, CA $52.58
Fresno, CA $52.56
Hanford-Corcoran, CA $52.59
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $55.28
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $55.28
Madera, CA $52.56
Merced, CA $52.56
Modesto, CA $52.56
Napa, CA $56.14
Oxnard-Thousand Oaks-Ventura, CA $54.45
Redding, CA $52.56
Riverside-San Bernardino-Ontario, CA $53.07
Sacramento--Roseville--Arden-Arcade, CA $53.06
Salinas, CA $53.16
San Diego-Carlsbad, CA $53.29
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $57.74
San Francisco-Oakland-Hayward (Marin Cnty), CA $57.00
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $57.74
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $57.74
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $55.69
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $58.36
San Luis Obispo-Paso Robles-Arroyo Grande, CA $52.70
Santa Cruz-Watsonville, CA $54.16
Santa Maria-Santa Barbara, CA $53.73
Santa Rosa, CA $53.50
Stockton-Lodi, CA $52.56
Vallejo-Fairfield, CA $56.14
Visalia-Porterville, CA $52.56
Yuba City, CA $52.56
Rest Of California, CA $52.56
Hawaii, GUam $53.06
Metropolitan Boston, MA $55.78

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