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CPT 81003 · negotiated-rate distribution across hospitals in NY

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Hospitals
12
Min
$2.02
Median
$2.59
Max
$38.50
Range multiplier
19.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield690$1.11$2.20$58.2452.5×
UnitedHealthcare1052$1.10$2.26$109.1199.2×
Emblem Health541$2.02$18.29$114.4056.6×
Aetna932$1.84$7.63$96.3852.4×
mvp424$1.80$2.49$113.8163.2×
capital district physicians' health plan324$1.58$2.25$61.0538.6×
fidelis care422$1.91$2.25$26.2213.7×
Healthfirst321$2.02$23.60$41.4020.5×
Medicaid216$1.58$2.02$4.552.9×
Empire BCBS416$2.00$15.92$38.5019.3×
magnacare612$2.70$47.28$625.00231.5×
Medicare210$1.69$2.25$2.361.4×
Humana610$1.84$2.20$20.8011.3×
univera110$1.43$2.10$2.701.9×
Molina59$1.24$2.45$10.658.6×
Multiplan38$3.80$57.60$135.8535.8×
choicecare28$2.25$11.64$55.2024.5×
Cigna68$1.69$2.64$22.0613.1×
fidelis26$2.02$18.36$38.6119.1×
VA Health36$2.25$2.25$26.2211.7×
martins point36$2.41$2.44$26.2210.9×
oxford36$2.25$3.24$9.004.0×
wellpath24$3.15$3.27$39.3312.5×
amerihealth14$2.36$2.73$3.101.3×
st. regis24$2.25$3.20$20.809.2×
[metroplus]14$38.35$44.14$50.701.3×
[magnacare]14$37.76$44.40$52.001.4×
harvard pilgrim24$3.20$33.20$114.4035.8×
First Health24$3.60$35.28$128.7035.7×
mvp 290013$1.69$2.11$2.111.2×
[fidelis]13$29.25$31.18$35.101.2×
better health fidelis12$2.00$2.07$2.141.1×
[oxford]12$9.00$9.00$9.001.0×
[urn]12$41.89$44.02$46.151.1×
6 degrees health12$49.14$51.48$53.821.1×
affinity12$2.00$2.00$2.001.0×
Anthem BCBS12$1.24$1.24$1.241.0×
capital district (cdphp)12$2.25$2.25$2.251.0×
centers plan for healthy living22$2.25$2.25$2.251.0×
emblemhealth12$2.14$10.26$18.378.6×
geisinger12$4.96$4.96$4.961.0×
jefferson health plans12$3.10$3.92$4.741.5×
martin's point12$2.25$4.28$6.302.8×
metroplus12$40.95$42.90$44.851.1×
partners health plan12$2.25$2.25$2.251.0×
urn12$44.73$46.86$48.991.1×
vns12$2.02$2.14$2.251.1×
excellus 220111$2.25$2.25$2.251.0×
emblemhealth-commercial other11$2.30$2.30$2.301.0×
emblemhealth-commercial hmo/pos11$67.53$67.53$67.531.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Stony Brook University HospitalStony BrookNY12$82.92$82.92$2.00$38.50$77.00
Elizabethtown Community HospitalElizabethtownNY16$69.00$69.00$1.11$3.06$63.55
Memorial Hospital For Cancer And AllNew YorkNY18$69.00$69.00$8.29$29.25$62.10
Helen Hayes HospitalWest HaverstrawNY8$19.00$19.00$2.00$2.81$3.38
Alice Hyde Medical CenterMaloneNY12$65.00$65.00$1.58$2.59$64.03
Westfield Memorial HospitalWestfieldNY15$15.00$11.70$1.43$2.34$6.30
St. Josephs Medical CenterYonkersNY15$29.00$2.25$2.02$2.25$4.55
Champlain Valley Physicians HospitalPlattsburghNY16$143.00$143.00$1.11$2.25$135.85
Nassau University Medical CenterEast MeadowNY12$40.83$28.59$1.10$2.25$625.00
Fredrick Ferris Thompson HospitalCanandaiguaNY14$9.00$4.00$1.35$2.02$4.55
Nyu Langone HospitalsNew YorkNY0$104.51$2.70
Eastern Long Island HospitalGreenportNY0$104.51$2.70

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.