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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in NY

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Hospitals
10
Min
$8.07
Median
$8.39
Max
$114.84
Range multiplier
14.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield771$5.32$8.39$161.3730.3×
UnitedHealthcare738$3.31$8.47$182.3655.1×
Aetna721$6.6$15.49$18127.4×
Medicaid217$5.65$8.07$18.163.2×
capital district physicians' health plan316$5.65$8.07$162.7628.8×
fidelis care414$6.86$8.47$75.2411.0×
mvp312$6.46$26.56$154.6623.9×
Medicare210$6.05$8.07$8.471.4×
univera110$5.13$7.88$9.71.9×
Humana710$6.61$8.07$54.728.3×
choicecare26$8.07$59.44$158.419.6×
magnacare45$22.4$123.2$62527.9×
Molina45$4.44$10.09$21.664.9×
Cigna45$6.05$7.59$186.0330.7×
amerihealth14$8$8.24$8.471.1×
martins point34$8.64$25.81$75.248.7×
VA Health34$8.07$25.48$75.249.3×
st. regis23$8.07$22.4$42.885.3×
Empire BCBS13$169$173.88$3482.1×
emblemhealth13$7.67$12.15$17.122.2×
mvp 290013$6.05$7.59$7.591.3×
jefferson health plans12$8$10.12$12.241.5×
martin's point12$8.07$15.06$22.052.7×
Medicare Advantage12$8.07$46.29$84.510.5×
Multiplan22$146.3$162.25$178.21.2×
1199seiu national benefit funds12$16.2$19.52$22.831.4×
wellpath22$12.11$62.49$112.869.3×
First Health22$138.6$153.45$168.31.2×
geisinger12$12.8$12.8$12.81.0×
harvard pilgrim22$123.2$140.8$158.41.3×
Anthem BCBS12$4.44$4.44$4.441.0×
Emblem Health22$123.2$140.8$158.41.3×
Healthfirst11$8.1$8.1$8.11.0×
american health plans11$8.07$8.07$8.071.0×
capital district physicians health plan (cdphp) 514911$8.07$8.07$8.071.0×
centers plan for healthy living11$8.07$8.07$8.071.0×
derived contracted rate11$82.07$82.07$82.071.0×
elderplan 131611$8.07$8.07$8.071.0×
emblemhealth-commercial hmo/pos11$158.74$158.74$158.741.0×
emblemhealth-commercial other11$10.61$10.61$10.611.0×
emblemhealth-commercial ppo/open access11$151.54$151.54$151.541.0×
excellus 220111$8.07$8.07$8.071.0×
fidelis 515511$8.07$8.07$8.071.0×
fidelis-commercial other11$9.68$9.68$9.681.0×
1199-commercial other11$104.58$104.58$104.581.0×
healthplus hp-commercial other11$16.9$16.9$16.91.0×
independent health 515611$8.07$8.07$8.071.0×
life pittsburgh11$8.07$8.07$8.071.0×
Meritain Health11$66.8$66.8$66.81.0×
optum-commercial other11$8.07$8.07$8.071.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ALICE HYDE MEDICAL CENTERMALONENY12$134$134$4.84$9.75$131.99
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$55$42.9$5.13$8.39$22.05
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$154$154$7.63$8.36$146.3
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY14$50$25$3.39$8.07$18.16
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY12$38.05$26.64$3.31$8.07$625
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY22$171.22$171.22$8.07$74.44$348
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$198$198$5.65$114.84$182.36
CALVARY HOSPITAL INC.BRONXNY0$34
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$130.56$9.68
NYU LANGONE HOSPITALSNEW YORKNY0$130.56$9.68

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.