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Price reports for 99214 Office/outpatient visit est

Community member

Price charged

$60.00

Insurance paid

$0.00

You paid

$0.00

Provider: "Little People PA". Bohdan Bodlak MD
Phone: (305) 836-8410
Address: Miami Shores, 209, Northeast 95th Street, FL
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PriceCheck journalist

Price charged

$74.06

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.
Community member

Price charged

$93.00

Insurance paid

$59.46

You paid

$0.00

Medicare supplement paid 14.86.
Insurer: Medicare
Provider: Salam, Dr. Hamid MD
Phone: (985) 871-4140
Address: Covington, 1202 S. Tyler St., LA
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PriceCheck journalist

Price charged

$106.07

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

$115.00

Insurance paid

$90.00

You paid

$25.00

$25 co-pay
Insurer: Blue Cross Blue Shield Federal Employee Program
Provider: Hampton Mental Health Associates
Phone: (757) 826-7516
Address: Hampton, 2112, Hartford Road, VA
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PriceCheck journalist

Price charged

$115.43

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

$120.00

Insurance paid

$86.89

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

$133.00

Insurance paid

$88.32

You paid

$0.00

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

$135.00

Insurance paid

$0.00

You paid

$83.22

Insurer: Anthem Blue Cross Blue Shield
Provider: Ohio Sleep Medicine Institute - Asim Roy, MD
Phone: (614) 775-6177
Address: New Albany, 7277, Smith's Mill Road, OH
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Community member

Price charged

$140.00

Insurance paid

$0.00

You paid

$92.85

Insurer: Aetna
Provider: Central AZ Heart Specialists
Phone: (480) 899-2020
Address: Chandler, 333, North Dobson Road, AZ
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Community member

Price charged

$140.00

Insurance paid

$80.85

You paid

$0.00

Medicare supplement paid 20.21.
Insurer: Medicare
Provider: Purohit, Dr. Sunil MD
Phone: (985) 892-6811
Address: Covington, 71207 Highway 21, LA
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Community member

Price charged

$145.00

Insurance paid

$55.04

You paid

$89.96

Insurer: Cigna
Provider: Hillmont G.I.
Phone: (215) 402-0800
Address: Flourtown, 1811, Bethlehem Pike, PA
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PriceCheck journalist

Price charged

$145.73

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

$148.00

Insurance paid

$125.40

You paid

$0.00

Insurer: Humana
Provider: SIMEDHealth
Phone: (352) 224-4090
Address: Gainesville, 4343, West Newberry Road, FL
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Community member

Price charged

$150.00

Insurance paid

$0.00

You paid

$142.03

Insurer: Aetna
Provider: Medical University of Sc: Zavadzkas Juozas A MD
Phone: (843) 792-2300
Address: Charleston, 169, Ashley Avenue, SC
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Community member

Price charged

$150.00

Insurance paid

$0.00

You paid

$85.00

Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Nestor Mark S MD PhD
Phone: (305) 933-6716
Address: Miami, 2925, Northeast 199th Street, FL
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Community member

Price charged

$150.00

Insurance paid

$0.00

You paid

$76.31

Still working on deductible of $10,000
Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Nestor Mark S MD PhD
Phone: (305) 933-6716
Address: Miami, 2925, Northeast 199th Street, FL
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Community member

Price charged

$157.00

Insurance paid

$38.95

You paid

$75.63

Insurer: Medicare
Provider: Dr. Ellen Jacobsen, MD
Phone: (217) 367-7546
Address: Urbana, 407, West Springfield Avenue, IL
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Community member

Price charged

$157.00

Insurance paid

$87.67

You paid

$30.00

Why does insurance consider a PA the level of an MD?
Insurer: Aetna
Provider: Caitlin M. Anderson, P.A.
Phone: (540) 985-8505
Address: Roanoke, 2001, Crystal Spring Avenue Southwest, VA
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Community member

Price charged

$165.00

Insurance paid

$0.00

You paid

$30.00

Insurer: Peoples Health
Provider: Lilly, Dr. James MD
Phone: 504-323-0407
Address: New Orleans, 2821 Napoleon Ave., LA
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Community member

Price charged

$172.00

Insurance paid

$141.10

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

$173.00

Insurance paid

$0.00

You paid

$128.27

Provider charged level 4 for administering rapid strep test, a questionably complex case. This perceived complexity over a 10 minute mouth swab and test (test cost not included here) cost patient additional $41.76.
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

$175.00

Insurance paid

$0.00

You paid

$175.00

Provider: One Medical
Phone: (415) 593-3080
Address: San Francisco, 2175, Market Street, CA
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Community member

Price charged

$184.00

Insurance paid

$40.89

You paid

$5.21

Secondary paid $5.22 and something called Contractual Adjustment was $132.68. The Hartford is secondary insurance through my employer.
Insurer: The Hartford
Provider: Tulane Multispecialty Center
Phone: (504) 988-9000
Address: New Orleans, 200, Broadway Street, LA
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PriceCheck journalist

Price charged

$187.51

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

$187.51

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

$188.38

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.
Community member

Price charged

$191.67

Insurance paid

$0.00

You paid

$191.67

aetna member rate
Insurer: Aetna
Provider: Krishnaveni Srigiri Bethi, M.D.
Phone: (504) 842-4747
Address: Jefferson, 1401, Jefferson Highway, LA
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Community member

Price charged

$191.67

Insurance paid

$0.00

You paid

$191.67

aetna member rate
Insurer: Aetna
Provider: Khoa Nguyen, M.D.
Phone: (866) 624-7637
Address: Marrero, 4225, Lapalco Boulevard, LA
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Community member

Price charged

$199.00

Insurance paid

$62.03

You paid

$0.00

Contractual Adjustment $121.14, Pending Secondary Insurance $15.83
Insurer: Medicare
Provider: Tulane Medical Center
Phone: (504) 988-5263
Address: New Orleans, 1415, Tulane Avenue, LA
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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

$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.
Community member

Price charged

$200.00

Insurance paid

$68.36

You paid

$15.00

Insurer: UnitedHealthcare Oxford
Provider: Dr. Adele L. Cavalli, MD
Phone: (212) 353-0008
Address: New York, 80, 5th Avenue, NY
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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.
Community member

Price charged

$206.00

Insurance paid

$46.00

You paid

$160.00

Healthy young adult male presented with strep throat symptoms. Patient had no chronic disease history or increased-risk health conditions. Nurse measured pulse and blood pressure. Doctor spent 5-10 minutes with patient, ordered rapid strep test, asked patient if he wanted a steroid shot to combat symptoms. Patient agreed, doctor left the room, nurse administered the shot, and the patient was free to leave. This clinic billed the patient and insurer a total of $206.00 for this "moderate level" evaluation under 99214 coding, separate from the additional rapid strep test and injection charges. Net total billing to patient and insurer for this service? $307.00!
Insurer: Humana
Provider: Ochsner Urgent Care - Mid-City
Phone: (504) 218-4853
Address: New Orleans, 231, North Carrollton Avenue, LA
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PriceCheck journalist

Price charged

$206.00

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

$210.00

Insurance paid

$120.54

You paid

$0.00

Get three visits for free. This was one of them after I will pay $1.00 for each visit.
Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Medical Multi-Specialty Group of West Broward
Phone: (954) 749-1616
Address: Sunrise, 8391, West Oakland Park Boulevard, FL
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Community member

Price charged

$210.00

Insurance paid

$150.00

You paid

$122.65

210 for visit, 150 for xray of knee
Insurer: Kaiser Permanente
Provider: Kaiser Permanente Northgate Medical Center
Phone: (206) 302-1200
Address: Seattle, 9800, 4th Avenue Northeast, WA
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Community member

Price charged

$213.00

Insurance paid

$0.00

You paid

$104.22

I have a grandfathered individual plan.
Insurer: Blue Cross Blue Shield of Arizona
Provider: Tucson ENT Audiology
Phone: (520) 777-0495
Address: Tucson, 6567, East Carondelet Drive, AZ
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Community member

Price charged

$215.00

Insurance paid

$180.00

You paid

$35.00

Insurer: Florida Blue: Blue Cross Blue Shield of Florida
Provider: Sarasota Orthopedic Associates
Phone: (941) 951-2663
Address: Sarasota, 6230, University Parkway, FL
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Community member

Price charged

$217.00

Insurance paid

$66.77

You paid

$25.00

Insurer: Aetna
Provider: Family Health Center
Phone: (941) 722-7785
Address: Palmetto, 606, 4th Avenue West, FL
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Community member

Price charged

$220.00

Insurance paid

$134.69

You paid

$57.72

Insurer: HMA (Health Management Associates)
Provider: Midvalley ENT & Allergy
Phone: (541) 967-0404
Address: Albany, 950, 29th Avenue Southwest, OR
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Community member

Price charged

$224.00

Insurance paid

$100.33

You paid

$123.67

The insurance paid is the "adjusted" value or "discounted" value
Insurer: Blue Cross Blue Shield of Kansas
Provider: Florida Spine Specialists: Dalton Harold L DO
Phone: (954) 492-3392
Address: Fort Lauderdale, 6000, North Federal Highway, FL
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Community member

Price charged

$225.00

Insurance paid

$107.00

You paid

$0.00

Insurer: CarePlus Health Plans (Florida Medicare)
Provider: Christopher G Nelson PA
Phone: (727) 895-8131
Address: Saint Petersburg, 350, 6th Street South, FL
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Community member

Price charged

$240.00

Insurance paid

$0.00

You paid

$240.00

HealthNet PPO, Bronze through Covered California
Provider: Renee C MacLeod, MD
Phone: (310) 322-9700
Address: Manhattan Beach, 1010, North Sepulveda Boulevard, CA
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Community member

Price charged

$242.00

Insurance paid

$206.84

You paid

$0.00

Insurer: Blue Cross Blue Shield of Illinois
Provider: Sports Medicine Chicago
Phone: (312) 255-7540
Address: Chicago, 875, North Dearborn Street, IL
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Community member

Price charged

$255.00

Insurance paid

$234.71

You paid

$20.29

Insurer: Medicare
Provider: Devraj, Dr. Timothy MD
Phone: 985-400-5566
Address: Covington, 70411 LA-21, LA
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PriceCheck journalist

Price charged

$274.00

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

$274.00

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

$274.00

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.

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What Medicare pays here?

Office/outpatient visit est
Region Price
Alabama $75.72
Alaska $108.60
Arizona $78.76
Arkansas $75.62
Anaheim/Santa Ana, CA $86.09
Los Angeles, CA $84.10
Marin/Napa/Solano, CA $86.34
Oakland/Berkeley, CA $87.07
Rest of California $81.57
San Francisco, CA $90.20
San Mateo, CA $90.06
Santa Clara, CA $89.96
Ventura, CA $84.73
Colorado $80.56
Connecticut $84.56
DC + MD/VA Suburbs $87.96
Delaware $81.24
Fort Lauderdale, FL $83.15
Miami, FL $86.30
Rest of Florida $80.22
Atlanta, GA $80.26
Rest of Georgia $78.01
Hawaii/Guam $82.37
Idaho $76.06
Chicago, IL $84.53
East St. Louis, IL $81.41
Rest of Illinois $78.95
Suburban Chicago, IL $83.71
Indiana $75.96
Iowa $75.85
Kansas $76.63
Kentucky $76.67
New Orleans, LA $80.23
Rest of Louisiana $78.20
Rest of Maine $77.07
Southern Maine $78.97
Baltimore/Surr. Cntys, MD $84.44
Rest of Maryland $81.53
Metropolitan Boston $83.34
Rest of Massachusetts $82.80
Detroit, MI $82.25
Rest of Michigan $78.26
Minnesota $77.95
Mississippi $74.83
Metropolitan Kansas City, MO $79.44
Metropolitan St Louis, MO $79.28
Rest of Missouri $76.92
Montana $82.28
Nebraska $75.54
Nevada $80.17
New Hampshire $81.19
Northern NJ $86.02
Rest of New Jersey $83.83
New Mexico $79.13
Manhattan, NY $89.06
NYC Suburbs/Long I., NY $90.94
Poughkpsie/N NYC Suburbs, NY $83.56
Queens, NY $91.33
Rest of New York $77.43
North Carolina $77.37
North Dakota $78.35
Ohio $78.17
Oklahoma $77.41
Portland, OR $80.97
Rest of Oregon $78.49
Metropolitan Philadelphia, PA $84.22
Rest of Pennsylvania $78.70
Puerto Rico $80.13
Rhode Island $82.58
South Carolina $76.43
South Dakota $77.80
Tennessee $76.09
Austin, TX $79.56
Beaumont, TX $77.73
Brazoria, TX $80.44
Dallas, TX $80.13
Fort Worth, TX $79.16
Galveston, TX $80.75
Houston, TX $81.13
Rest of Texas $77.89
Utah $78.97
Vermont $78.88
Virgin Islands $80.13
Virginia $79.36
Rest of Washington $79.90
Seattle (King Cnty), WA $84.48
West Virginia $77.88
Wisconsin $76.69
Wyoming $79.57
Bakersfield, CA $81.36
Chico, CA $81.16
El Centro, CA $81.19
Fresno, CA $81.16
Hanford-Corcoran, CA $81.22
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $85.35
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $85.35
Madera, CA $81.16
Merced, CA $81.16
Modesto, CA $81.16
Napa, CA $86.75
Oxnard-Thousand Oaks-Ventura, CA $84.06
Redding, CA $81.16
Riverside-San Bernardino-Ontario, CA $81.91
Sacramento--Roseville--Arden-Arcade, CA $81.94
Salinas, CA $82.09
San Diego-Carlsbad, CA $82.29
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $89.24
San Francisco-Oakland-Hayward (Marin Cnty), CA $88.07
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $89.24
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $89.24
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $86.02
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $90.20
San Luis Obispo-Paso Robles-Arroyo Grande, CA $81.39
Santa Cruz-Watsonville, CA $83.65
Santa Maria-Santa Barbara, CA $82.97
Santa Rosa, CA $82.63
Stockton-Lodi, CA $81.16
Vallejo-Fairfield, CA $86.75
Visalia-Porterville, CA $81.16
Yuba City, CA $81.16
Rest Of California, CA $81.16
Hawaii, GUam $81.93
Metropolitan Boston, MA $86.01

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