Price reports for 99285 Emergency Care - Level 5

PriceCheck journalist

Price charged

$270.00

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
Address: Newark, 111 Central Ave., NJ
PriceCheck journalist

Price charged

$300.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.margaretvillehosp.org/billing-insurance-and-financial-assistance .
Provider: Margaretville Hospital
Address: Margaretville, 42084 State Hwy. 28, NY
PriceCheck journalist

Price charged

$546.31

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.saintclares.com/463483967_SaintClaresHealth_standardcharges.json .
Provider: St. Clare's Denville
Address: Denville, 25 Pocono Rd., NJ
PriceCheck journalist

Price charged

$580.19

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
Address: Hoboken, 308 Willow Ave., NJ
PriceCheck journalist

Price charged

$580.19

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Bayonne Medical Center
Address: Bayonne, 29 E. 29th St., NJ
PriceCheck journalist

Price charged

$580.19

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Bayonne Medical Center
Address: Bayonne, 29 E. 29th St., NJ
PriceCheck journalist

Price charged

$631.75

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefioreslc.org/patients/billing-insurance-information/ .
Provider: Montefiore - St. Lukes Cornwall Hospital
Address: Newburgh, 70 Dubois St., NY
PriceCheck journalist

Price charged

$642.92

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorenyack.org/price-transparency .
Provider: Montefiore - Nyack Hospital
Address: Nyack, 160 N. Midland Ave., NY
Community member

Price charged

$665.00

Insurance paid

$0.00

You paid

$0.00

This was part of a broader list of charges for an emergency kidney stone attack. The other charges were: $330 for CT scan analysis by a radiologist, $46 for lab work, and $9039 from Baptist Hospital. Customer Service told me that over $6000 of the $9036 was for the CT scan itself. NOTE: Baptist only sends an itemized list of charges upon request!I haven't paid anything yet.
Provider: Criticare Clinics Inc
Address: South Miami, 5975, Sunset Drive, FL
Community member

Price charged

$665.00

Insurance paid

$611.29

You paid

$53.71

Provider: Baptist Health Urgent Care (West Kendall)
Address: Miami, 13001, North Kendall Drive, FL
PriceCheck journalist

Price charged

$726.51

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://uhnj.org/transparency/charges.htm .
Provider: University Hospital Newark
Address: Newark, 150 Bergen St., NJ
PriceCheck journalist

Price charged

$738.01

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
Address: New York, 424 East 34th St., NY
Community member

Price charged

$770.00

Insurance paid

$182.17

You paid

$0.00

Insurance through CT Teachers Retirement - Medicare Advantage // Anthem seems to have paid Medicare amount; Group says they are out of network and is balance billing $587.83; Anthem is protesting so result is currently in limbo; procedure was for lower abdominal pain - diagnosis = diverticulitus
Insurer: Anthem Blue Cross (California)
Provider: Napa Valley Emergency Medical Group: Carlson Edwin MD
Address: Napa, 1000, Trancas Street, CA
Community member

Price charged

$831.60

Insurance paid

$178.40

You paid

$65.00

Provider: East Jefferson General Hospital
Address: Metairie, 4200, Houma Boulevard, LA
PriceCheck journalist

Price charged

$900.00

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
Address: Kingston, 105 Mary's Ave., NY
PriceCheck journalist

Price charged

$1,000.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.westchestermedicalcenter.org/billing-insurance-and-financial-assistance .
Provider: Westchester Medical Center
Address: Valhalla, 100 Woods Rd., NY
PriceCheck journalist

Price charged

$1,000.00

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
Address: Port Jervis, 160 E. Main St., NY
PriceCheck journalist

Price charged

$1,000.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/navigation/1652 .
Provider: Good Samaritan Hospital
Address: Suffern, 255 Lafayette Ave., NY
PriceCheck journalist

Price charged

$1,000.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.midhudsonregional.org/billing-insurance-and-financial-assistance .
Provider: MidHudson Regional Hospital
Address: Poughkeepsie, 241 North Rd., NY
PriceCheck journalist

Price charged

$1,000.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stanthonycommunityhosp.org/navigation/1652 .
Provider: St. Anthony Community Hospital
Address: Warwick, 15 Maple Ave., NY
Community member

Price charged

$1,081.00

Insurance paid

$247.19

You paid

$0.00

Insurer: Celtic Insurance Company
Provider: Emergency Physicians of St. Petersburg, PA
Address: Saint Petersburg, 603, 7th Street South, FL
Community member

Price charged

$1,270.00

Insurance paid

$0.00

You paid

$0.00

I have about 60 pages of documentation on appealing rejection of $2540 in charges 2x with United Health for ER bills with Mclaren Hospital in Michigan - billed as Out-of-Network and also rejected by Florida Insurance Bureau as well - who say they have no jurisdiction. I can't get anyone to help me. Mich. Attorney General says to go to you. Please help me. I am 64 and think I am disabled now.
Provider: McLaren Greater Lansing
Address: Lansing, 401, West Greenlawn Avenue, MI
PriceCheck journalist

Price charged

$1,325.00

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
Address: Brooklyn, 450 Clarkson Ave., NY
PriceCheck journalist

Price charged

$1,476.03

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
Address: New York, 424 East 34th St., NY
Community member

Price charged

$1,502.00

Insurance paid

$0.00

You paid

$358.94

Contractual deduction of $1143.06
Insurer: Florida Health Care Plans
Provider: Emergency Medicine Professionls
Address: DeLand, 701, West Plymouth Avenue, FL
Community member

Price charged

$1,515.00

Insurance paid

$1,030.20

You paid

$0.00

Insurer: Aetna
Provider: ACS Primary Care Physician
Address: Lake Charles, 524 Dr. Michael Debakey Dr., LA
Community member

Price charged

$1,516.00

Insurance paid

$0.00

You paid

$1,516.00

Provider: Overland Park Regional Medical Center
Address: Overland Park, ,, KS
Community member

Price charged

$1,573.00

Insurance paid

$185.86

You paid

$0.00

Huge imbalance. This was Medicare & AARP .. If this is what MEDICARE FOR ALL is going to pay, there will be problems. OFFICE VISIT 99214 charged 370.00 MEDICARE APPROVED 121.74 and PAID 96.41 AARP PAID 24.35
Insurer: Medicare
Provider: JFK Medical Center Emergency Room
Address: Edison, 65, James Street, NJ
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: Glen Cove Hospital
Address: Glen Cove, 101 St. Andrews Lane, NY
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor . .
Provider: Plainview Hospital
Address: Plainview, 888 Old Country Rd., NY
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: South Shore University Hospital
Address: Bay Shore, 301 E. Main St., NY
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: Huntington Hospital
Address: Huntington, 270 Park Ave., NY
Community member

Price charged

$1,701.00

Insurance paid

$0.00

You paid

$543.40

Insurer: Blue Cross Blue Shield of Minnesota
Provider: TriStar Summit Medical Center
Address: Nashville, 5655, Frist Boulevard, TN
PriceCheck journalist

Price charged

$1,717.90

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
Address: New Haven, 20 York St., CT
Community member

Price charged

$1,774.00

Insurance paid

$0.00

You paid

$1,431.90

Provider: Slidell Memorial Hospital: Emergency Room
Address: Slidell, 1001, Gause Boulevard, LA
PriceCheck journalist

Price charged

$1,786.47

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
Address: White Plains, 41 E. Post Rd., NY
PriceCheck journalist

Price charged

$1,789.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Catherine of Siena Medical Center
Address: Smithtown, 50 NY-25A, NY
PriceCheck journalist

Price charged

$1,789.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Mercy Hospital
Address: Rockville Centre, 1000 N. Village Ave., NY
PriceCheck journalist

Price charged

$1,789.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Joseph Hospital
Address: Bethpage, 4295 Hempstead Tpke., NY
PriceCheck journalist

Price charged

$1,789.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Charles Hospital
Address: Port Jefferson, 200 Belle Terre Rd., NY
Community member

Price charged

$1,863.00

Insurance paid

$0.00

You paid

$0.00

My dad went here a week later he has congenital heart failure had a brain scan and his bill was less than mine . I never even saw a doctor only a nurse practitioner ….. sh*t is ridiculous . Plus u can’t even get a doctor to read test results anymore . I had to point out that my kidneys were failing last two times I waited two weeks to see if they’d see the big red exclamation points on my labs NOPE . Healthcare is a joke . Except it’s not really funny at all… I’d rather just drink paint than be belittled disregarded put down and ignored like I have been for the last six years trying to receive healthcare from any doctor and I’ve been in nine states in last five years …..
Provider: HonorHealth Deer Valley Medical Center
Address: Phoenix, 19829, North 27th Avenue, AZ
Community member

Price charged

$1,924.00

Insurance paid

$1,347.20

You paid

$336.80

Insurer: Aetna
Provider: Slidell Emergency Group
Address: Slidell, 100 Medical Center Dr., LA
PriceCheck journalist

Price charged

$1,942.50

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
Address: New Rochelle, 16 Guion Pl., NY
Community member

Price charged

$1,950.00

Insurance paid

$877.50

You paid

$1,072.50

why so expensive?
Insurer: HAP (Alliance)
Provider: Henry Ford West Bloomfield Hospital
Address: West Bloomfield Township, 6777, West Maple Road, MI
PriceCheck journalist

Price charged

$1,987.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Good Samaritan Hospital
Address: West Islip, 1000 Montauk Hwy., NY
PriceCheck journalist

Price charged

$1,987.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Address: Roslyn, 100 Port Washington Blvd., NY
Community member

Price charged

$2,158.00

Insurance paid

$0.00

You paid

$2,158.00

Insurer: UnitedHealthcare
Provider: Touro Infirmary Hospital
Address: New Orleans, 1401, Foucher Street, LA
PriceCheck journalist

Price charged

$2,324.16

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: Syosset Hospital
Address: Syosset, 221 Jericho Turnpike, NY
PriceCheck journalist

Price charged

$2,324.16

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools .
Provider: North Shore University Hospital
Address: Manhasset, 300 Community Dr., NY
PriceCheck journalist

Price charged

$2,324.16

Insurance paid

$0.00

You paid

$0.00

From pricing page: From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor . .
Provider: Staten Island University Hospital
Address: Staten Island, 475 Seaview Ave., NY

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What Medicare pays here?

Emergency Care - Level 5
Region Price
Alabama $166.89
Alaska $244.14
Arizona $173.36
Arkansas $167.47
Anaheim/Santa Ana, CA $183.98
Los Angeles, CA $180.75
Marin/Napa/Solano, CA $182.97
Oakland/Berkeley, CA $184.84
Rest of California $176.07
San Francisco, CA $189.59
San Mateo, CA $189.43
Santa Clara, CA $189.66
Ventura, CA $181.05
Colorado $177.24
Connecticut $185.31
DC + MD/VA Suburbs $191.15
Delaware $179.20
Fort Lauderdale, FL $186.60
Miami, FL $196.76
Rest of Florida $179.47
Atlanta, GA $177.26
Rest of Georgia $174.46
Hawaii/Guam $176.55
Idaho $167.46
Chicago, IL $189.90
East St. Louis, IL $184.43
Rest of Illinois $176.69
Suburban Chicago, IL $186.00
Indiana $166.24
Iowa $166.47
Kansas $169.00
Kentucky $170.75
New Orleans, LA $178.77
Rest of Louisiana $175.73
Rest of Maine $169.99
Southern Maine $172.26
Baltimore/Surr. Cntys, MD $185.64
Rest of Maryland $179.38
Metropolitan Boston $179.47
Rest of Massachusetts $181.53
Detroit, MI $184.65
Rest of Michigan $174.30
Minnesota $168.48
Mississippi $164.82
Metropolitan Kansas City, MO $176.17
Metropolitan St Louis, MO $175.81
Rest of Missouri $172.49
Montana $184.19
Nebraska $165.23
Nevada $175.81
New Hampshire $178.06
Northern NJ $185.86
Rest of New Jersey $182.02
New Mexico $177.24
Manhattan, NY $195.91
NYC Suburbs/Long I., NY $201.81
Poughkpsie/N NYC Suburbs, NY $184.24
Queens, NY $202.83
Rest of New York $169.79
North Carolina $170.54
North Dakota $170.43
Ohio $174.08
Oklahoma $172.74
Portland, OR $176.30
Rest of Oregon $172.61
Metropolitan Philadelphia, PA $186.00
Rest of Pennsylvania $174.94
Puerto Rico $176.29
Rhode Island $181.25
South Carolina $168.25
South Dakota $168.52
Tennessee $167.61
Austin, TX $173.60
Beaumont, TX $172.17
Brazoria, TX $176.86
Dallas, TX $175.32
Fort Worth, TX $173.63
Galveston, TX $177.23
Houston, TX $178.48
Rest of Texas $172.00
Utah $176.37
Vermont $171.52
Virgin Islands $176.29
Virginia $174.70
Rest of Washington $175.29
Seattle (King Cnty), WA $182.95
West Virginia $176.15
Wisconsin $166.85
Wyoming $174.72
Bakersfield, CA $176.13
Chico, CA $175.42
El Centro, CA $175.52
Fresno, CA $175.42
Hanford-Corcoran, CA $175.56
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $183.39
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $183.39
Madera, CA $175.42
Merced, CA $175.42
Modesto, CA $175.42
Napa, CA $183.75
Oxnard-Thousand Oaks-Ventura, CA $180.09
Redding, CA $175.42
Riverside-San Bernardino-Ontario, CA $177.97
Sacramento--Roseville--Arden-Arcade, CA $176.86
Salinas, CA $176.96
San Diego-Carlsbad, CA $177.05
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $187.87
San Francisco-Oakland-Hayward (Marin Cnty), CA $186.06
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $187.87
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $187.87
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $183.53
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $189.32
San Luis Obispo-Paso Robles-Arroyo Grande, CA $175.69
Santa Cruz-Watsonville, CA $179.11
Santa Maria-Santa Barbara, CA $178.45
Santa Rosa, CA $177.46
Stockton-Lodi, CA $175.42
Vallejo-Fairfield, CA $183.75
Visalia-Porterville, CA $175.42
Yuba City, CA $175.42
Rest Of California, CA $175.42
Hawaii, GUam $175.39
Metropolitan Boston, MA $186.29