CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sisters of Charity Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $107
  • Cash Discount Price: $223
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Sisters of Charity Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.91x the Medicare baseline. Located in 2157 Main Street, Buffalo, NY.
Cash / Self-Pay
$223

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $223 (190%)
Insurance Median: $107 (91%)
Cash: $223 (190% of Medicare)
Ins. Median: $107 (91% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $36 - $139 31%
Amerigroup [350102] $36 - $100 31%
Medicaid / KanCare $67 - $107 57%
Beacon Health Options [100023] $67 - $94 57%
Beacon Essential [350122] $67 - $94 57%
Medicare (plans) $67 - $113 57%
Univera Healthcare [100169] $75 - $121 64%
Univera Healthcare Essential [100170] $75 - $88 64%
Hospice [550001] $79 - $107 67%
Federal Workers Compensation [500100] $79 - $115 67%
UnitedHealthcare $81 - $116 69%
Fidelis Dual Advantage [450120] $83 - $113 71%
Wellcare Fidelis Dual [450451] $83 - $113 71%
Vna Option Mltc [350110] $85 - $100 72%
Independent Health Essential [100166] $85 - $100 72%
Excellus Rochester McD [350117] $85 - $100 72%
Champ VA [700002] $91 - $107 77%
VA Veterans Affairs [700001] $91 - $107 77%
Cigna $91 - $156 77%
Fallon Health [450115] $91 - $107 77%
Covid19 Hrsa [45013] $91 - $107 77%
Tricare $91 - $107 77%
Seneca Nation [450119] $91 - $107 77%
Crime Victims [100176] $95 - $100 81%
Tuscarora Nation [550120] $95 - $100 81%
Humana $97 - $107 83%
Fidelis Essential [100163] $97 - $129 83%
Iha First Choice [800001] $99 - $116 84%
Mvp Healthcare [100168] $99 - $116 84%
Independent Health [100165] $99 - $116 84%
Wellcare [450129] $100 - $118 85%
Aetna $107 91%
Meritain [100063] $107 91%
Catholic Health Life Pace [400005] $107 91%
Magnacare [100142] $107 91%
UPMC Health Plan [100181] $108 92%
Workers Compensation [500101] $115 98%
No Fault [114001] $115 98%
Ghi [100153] $118 100%
Fidelis Exchange [100164] $129 110%
Molina Essential [100167] $224 191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals