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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in NY

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Hospitals
7
Min
$1,241.6
Median
$1,799.52
Max
$15,485
Range multiplier
12.5×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield456$523.59$9,107.77$65,801125.7×
UnitedHealthcare522$370.43$6,524.63$20,51355.4×
Aetna413$529.18$13,420$25,76648.7×
fidelis care29$529.18$710.34$14,35927.1×
capital district physicians' health plan19$529.18$529.18$21,19340.0×
amerihealth18$506$989.58$14,09127.8×
mvp18$449.8$1,173.54$21,39847.6×
Humana46$529.18$13,292$14,41027.2×
Medicare26$11,672$14,410$15,8511.4×
geisinger14$698.76$970.18$1,241.61.8×
Molina24$315.25$445.14$14,62846.4×
univera14$462.16$538.29$782.421.7×
harvard pilgrim13$1,210.4$20,913$21,50817.8×
Empire BCBS13$14,229$15,485$16,7401.2×
Multiplan13$1,437.35$24,834$25,54117.8×
First Health13$1,361.7$23,527$24,19717.8×
magnacare13$1,210.4$20,913$21,50817.8×
wellpath12$740.85$10,763$20,78428.1×
Anthem BCBS12$575.03$575.03$575.031.0×
centers plan for healthy living12$676.51$7,048.25$13,42019.8×
Cigna22$918.45$17,305$33,69236.7×
Emblem Health12$20,913$21,210$21,5081.0×
emblemhealth12$1,183.89$6,966.44$12,74910.8×
martins point12$529.17$7,684.55$14,84028.0×
mvp 290012$25,968$28,778$31,5881.2×
pennsylvania health and wellness12$636.11$900.06$1,1641.8×
st. regis12$1,210.4$7,533.27$13,85611.4×
VA Health12$529.18$7,192.66$13,85626.2×
[oxford]12$14,292$15,750$17,2071.2×
american health plans11$13,420$13,420$13,4201.0×
martin's point11$13,420$13,420$13,4201.0×
life pittsburgh11$13,420$13,420$13,4201.0×
jefferson health plans11$1,187.28$1,187.28$1,187.281.0×
elderplan 131611$14,410$14,410$14,4101.0×
1199seiu national benefit funds11$16,028$16,028$16,0281.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY10$315.25$1,799.52$16,028
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$11,767$15,485$18,153
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY8$722.37$14,410$39,933
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$26,885$26,885$370.43$1,361.7$65,801
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$1,613$354.86$462.16$1,241.6$25,766
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$22,336$4,243.92
NYU LANGONE HOSPITALSNEW YORKNY0$22,336$4,243.92

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.