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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in NY

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Hospitals
10
Min
$952.99
Median
$2,011.26
Max
$14,115
Range multiplier
14.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield675$399.19$1,854.38$41,450103.8×
UnitedHealthcare839$190.24$1,791.35$18,15395.4×
Aetna822$776.09$1,832.83$16,23120.9×
univera120$79.36$587.26$1,167.0514.7×
Medicaid217$407.98$821.75$3,947.949.7×
mvp315$776.09$1,793.07$9,212.3311.9×
fidelis care314$776.09$1,027.19$9,045.3611.7×
Medicare213$776.09$1,042$9,963.612.8×
amerihealth112$137.76$820$8,876.2864.4×
capital district physicians' health plan211$620.87$913.05$8,728.3514.1×
Empire BCBS310$4,094.37$9,021$16,3964.0×
Humana57$776.09$8,291.93$9,057.8211.7×
Cigna46$1,165.61$2,570.82$21,17718.2×
geisinger16$190.24$951.2$1,241.66.5×
Emblem Health15$4,094.37$9,212.33$10,3162.5×
Molina34$976.9$6,653.35$9,214.439.4×
mvp 290014$844.49$8,657.85$19,85523.5×
VA Health23$913.05$913.05$8,728.359.6×
centers plan for healthy living23$1,149.29$7,935.57$8,453.67.4×
magnacare33$1,887.2$3,024.8$3,9572.1×
pennsylvania health and wellness13$173.18$865.92$1,1646.7×
st. regis23$1,887.2$1,887.2$8,728.354.6×
Healthfirst13$4,094.37$7,935.57$9,212.332.2×
fidelis13$4,094.37$7,935.57$9,212.332.2×
martins point23$913.06$913.06$9,348.0610.2×
excellus 220112$776.09$844.57$913.051.2×
Anthem BCBS12$976.9$976.9$976.91.0×
choicecare12$947.28$1,089.37$1,231.461.3×
emblemhealth12$2,011.26$5,021.09$8,030.924.0×
[oxford]12$14,292$15,750$17,2071.2×
fidelis 515512$1,073.69$1,167.05$1,260.411.2×
independent health 515612$1,194.19$1,299.56$1,404.931.2×
oxford12$2,774$5,354.79$7,935.572.9×
partners health plan12$7,935.57$7,935.57$7,935.571.0×
vns12$4,094.37$6,014.97$7,935.571.9×
wellpath12$1,278.27$7,185.4$13,09310.2×
First Health11$2,123.1$2,123.1$2,123.11.0×
fidelis-commercial other11$5,006.94$5,006.94$5,006.941.0×
emblemhealth-commercial other11$5,066.87$5,066.87$5,066.871.0×
Multiplan11$2,241.05$2,241.05$2,241.051.0×
emblemhealth-commercial hmo/pos11$6,017.59$6,017.59$6,017.591.0×
elderplan 131611$9,057.82$9,057.82$9,057.821.0×
1199 seiu11$2,150$2,150$2,1501.0×
oxford-commercial other11$4,782$4,782$4,7821.0×
WellCare11$7,935.57$7,935.57$7,935.571.0×
derived contracted rate11$6,037.83$6,037.83$6,037.831.0×
capital district physicians health plan (cdphp) 514911$2,387.15$2,387.15$2,387.151.0×
american health plans11$8,453.6$8,453.6$8,453.61.0×
1199seiu national benefit funds11$2,070$2,070$2,0701.0×
life pittsburgh11$8,453.6$8,453.6$8,453.61.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$2,912$1,736.43$399.19$956.98$25,100
ALICE HYDE MEDICAL CENTERMALONENY12$3,781$3,781$620.87$952.99$3,705.38
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$11,738$7,935.57$1,716$7,935.57$12,830
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY11$9,866.65$9,866.65$3,587.44$5,036.91$10,285
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY10$3,856$2,699.2$976.9$2,011.26$9,045.36
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY15$2,359$2,359$639.14$1,854.38$41,450
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY5$6,504$14,115$18,153
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$2,747$604.34$79.36$1,274.42$16,231
EASTERN LONG ISLAND HOSPITALGREENPORTNY0
NYU LANGONE HOSPITALSNEW YORKNY0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.