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CPT 99203 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$81.21
Median
$130.72
Max
$370.50
Range multiplier
4.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield674$45.54$109.98$474.0010.4×
UnitedHealthcare970$20.80$133.28$642.1130.9×
Emblem Health451$99.74$175.50$642.116.4×
Aetna735$62.77$113.72$645.1110.3×
mvp533$75.00$176.81$642.118.6×
Empire BCBS327$114.53$285.38$642.115.6×
Healthfirst227$89.71$187.33$642.117.2×
Medicaid126$24.60$77.28$112.764.6×
Medicare221$56.10$78.25$278.005.0×
capital district physicians' health plan319$76.62$104.96$388.635.1×
fidelis care419$65.21$80.56$160.122.5×
fidelis218$89.71$183.67$642.117.2×
Molina217$34.04$187.33$642.1118.9×
carelon114$57.23$105.47$153.702.7×
community care behavorial health university of pittsburgh medical center112$75.00$78.50$157.002.1×
Cigna511$87.04$148.74$551.256.3×
community care behavorial health healthchoices19$75.00$78.50$157.002.1×
oxford38$102.61$118.81$613.006.0×
vns18$135.00$170.86$285.382.1×
magnacare68$220.00$329.50$524.002.4×
Multiplan37$322.20$495.00$589.501.8×
Humana57$65.21$76.72$152.502.3×
[magnacare]16$396.00$457.20$524.001.3×
univera16$68.81$75.50$91.691.3×
mvp 290016$64.99$99.68$481.007.4×
amerihealth16$56.96$78.66$89.511.6×
choicecare26$84.39$113.18$251.253.0×
beacon health15$52.79$58.07$58.071.1×
VA Health34$76.72$76.72$107.201.4×
excellus 220114$65.21$82.97$104.961.6×
martins point34$104.97$104.97$107.201.0×
fidelis 515514$90.44$114.83$144.981.6×
independent health 515614$100.20$127.59$161.531.6×
geisinger14$78.66$82.73$86.801.1×
st. regis23$107.20$320.00$320.003.0×
[urn]13$429.00$479.70$510.901.2×
1199seiu national benefit funds13$154.50$208.88$284.401.8×
centers plan for healthy living23$91.79$135.00$152.501.7×
First Health23$304.30$360.00$443.701.5×
harvard pilgrim23$286.40$320.00$394.401.4×
[fidelis]13$127.25$127.25$127.251.0×
partners health plan12$135.00$135.00$135.001.0×
pennsylvania health and wellness12$71.61$76.50$81.381.1×
wellpath22$107.41$107.41$107.411.0×
capital district (cdphp)12$115.50$115.50$115.501.0×
capital district physicians health plan (cdphp) 514912$202.68$238.46$274.231.4×
Anthem BCBS12$78.02$78.02$78.021.0×
[oxford]12$455.34$495.17$534.991.2×
[metroplus]12$222.69$328.94$435.202.0×
emblemhealth12$144.87$152.75$160.631.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fredrick Ferris Thompson HospitalCanandaiguaNY13$180.00$107.33$24.60$88.65$490.00
Westfield Memorial HospitalWestfieldNY15$508.00$396.24$20.80$81.21$246.75
Memorial Hospital For Cancer And AllNew YorkNY18$655.00$655.00$89.71$370.50$645.11
St. Josephs Medical CenterYonkersNY15$1,118.00$135.00$103.21$187.33$642.11
Nassau University Medical CenterEast MeadowNY12$474.00$331.80$34.04$153.50$474.00
Helen Hayes HospitalWest HaverstrawNY9$544.00$544.00$55.82$151.70$408.00
Champlain Valley Physicians HospitalPlattsburghNY17$493.00$493.00$52.79$130.72$468.35
Alice Hyde Medical CenterMaloneNY12$463.00$463.00$65.21$107.20$453.74
Elizabethtown Community HospitalElizabethtownNY15$358.00$358.00$65.21$104.96$322.20
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.