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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$52.41
Median
$85.60
Max
$238.96
Range multiplier
4.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield672$31.12$72.25$474.0015.2×
UnitedHealthcare970$20.80$82.36$391.7618.8×
Emblem Health445$64.81$134.06$391.766.0×
Aetna735$37.42$81.55$457.2612.2×
mvp530$44.02$146.12$391.768.9×
Medicaid126$16.03$48.01$73.034.6×
Empire BCBS325$21.96$174.12$391.7617.8×
Healthfirst223$50.87$147.53$391.767.7×
Medicare221$32.40$46.44$210.006.5×
capital district physicians' health plan319$49.17$67.35$301.926.1×
fidelis care419$37.42$46.22$160.124.3×
carelon114$52.02$95.97$139.922.7×
fidelis214$50.87$160.28$391.767.7×
Molina213$22.18$161.90$391.7617.7×
Cigna513$59.87$104.90$366.006.1×
amerihealth110$37.10$51.23$66.001.8×
oxford38$60.60$73.30$462.007.6×
magnacare68$185.60$281.76$372.002.0×
community care behavorial health university of pittsburgh medical center18$55.00$82.00$109.002.0×
Humana57$37.42$44.02$152.504.1×
Multiplan37$208.80$363.85$418.502.0×
[magnacare]16$277.20$324.00$372.001.3×
geisinger16$51.23$58.00$64.001.2×
mvp 290016$43.37$70.30$360.008.3×
affinity16$21.96$21.96$175.008.0×
choicecare26$48.42$83.66$231.754.8×
community care behavorial health healthchoices16$55.00$82.00$109.002.0×
univera16$39.85$43.72$53.101.3×
vns16$86.00$158.14$174.122.0×
beacon health15$47.51$49.62$58.071.2×
VA Health35$44.02$44.02$98.882.2×
independent health 515614$57.48$77.88$103.691.8×
martins point34$67.35$67.35$98.881.5×
capital district (cdphp)14$82.50$178.13$273.753.3×
excellus 220114$37.42$50.64$67.351.8×
fidelis 515514$52.37$70.73$93.891.8×
st. regis23$98.88$222.40$222.402.2×
[urn]13$300.30$339.30$362.701.2×
1199seiu national benefit funds13$92.13$208.88$284.403.1×
centers plan for healthy living23$51.89$86.00$152.502.9×
First Health23$197.20$250.20$344.701.7×
harvard pilgrim23$185.60$222.40$306.401.7×
pennsylvania health and wellness13$46.64$52.80$60.001.3×
[fidelis]13$82.40$82.40$82.401.0×
Anthem BCBS12$44.11$44.11$44.111.0×
capital district physicians health plan (cdphp) 514912$117.81$147.49$177.161.5×
partners health plan12$86.00$86.00$86.001.0×
[oxford]12$313.36$340.77$368.171.2×
[metroplus]12$144.20$213.00$281.812.0×
emblemhealth12$90.81$117.84$144.871.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Helen Hayes HospitalWest HaverstrawNY9$365.00$365.00$21.96$89.90$284.00
Alice Hyde Medical CenterMaloneNY12$378.00$378.00$37.42$85.60$370.44
Champlain Valley Physicians HospitalPlattsburghNY17$383.00$383.00$44.02$75.42$363.85
Elizabethtown Community HospitalElizabethtownNY15$232.00$232.00$37.42$65.00$208.80
Fredrick Ferris Thompson HospitalCanandaiguaNY13$130.00$77.52$16.03$54.31$366.00
Westfield Memorial HospitalWestfieldNY15$423.00$329.94$20.80$52.41$173.25
Memorial Hospital For Cancer And AllNew YorkNY18$465.00$465.00$50.87$238.96$457.26
St. Josephs Medical CenterYonkersNY15$847.00$86.00$71.05$161.90$462.00
Nassau University Medical CenterEast MeadowNY12$474.00$331.80$22.18$152.50$474.00
Nyu Langone HospitalsNew YorkNY0$1,569.75$298.25
Eastern Long Island HospitalGreenportNY0$1,569.75$298.25

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.