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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
$370.5
Range multiplier
4.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield674$45.54$109.98$47410.4×
UnitedHealthcare970$20.8$133.28$642.1130.9×
Emblem Health451$99.74$175.5$642.116.4×
Aetna735$62.77$113.72$645.1110.3×
mvp533$75$176.81$642.118.6×
Empire BCBS327$114.53$285.38$642.115.6×
Healthfirst227$89.71$187.33$642.117.2×
Medicaid126$24.6$77.28$112.764.6×
Medicare221$56.1$78.25$2785.0×
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$153.72.7×
community care behavorial health university of pittsburgh medical center112$75$78.5$1572.1×
Cigna511$87.04$148.74$551.256.3×
community care behavorial health healthchoices19$75$78.5$1572.1×
oxford38$102.61$118.81$6136.0×
vns18$135$170.86$285.382.1×
magnacare68$220$329.5$5242.4×
Multiplan37$322.2$495$589.51.8×
Humana57$65.21$76.72$152.52.3×
[magnacare]16$396$457.2$5241.3×
univera16$68.81$75.5$91.691.3×
mvp 290016$64.99$99.68$4817.4×
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$107.21.4×
excellus 220114$65.21$82.97$104.961.6×
martins point34$104.97$104.97$107.21.0×
fidelis 515514$90.44$114.83$144.981.6×
independent health 515614$100.2$127.59$161.531.6×
geisinger14$78.66$82.73$86.81.1×
st. regis23$107.2$320$3203.0×
[urn]13$429$479.7$510.91.2×
1199seiu national benefit funds13$154.5$208.88$284.41.8×
centers plan for healthy living23$91.79$135$152.51.7×
First Health23$304.3$360$443.71.5×
harvard pilgrim23$286.4$320$394.41.4×
[fidelis]13$127.25$127.25$127.251.0×
partners health plan12$135$135$1351.0×
pennsylvania health and wellness12$71.61$76.5$81.381.1×
wellpath22$107.41$107.41$107.411.0×
capital district (cdphp)12$115.5$115.5$115.51.0×
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$435.22.0×
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$107.33$24.6$88.65$490
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$508$396.24$20.8$81.21$246.75
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$655$655$89.71$370.5$645.11
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$1,118$135$103.21$187.33$642.11
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY12$474$331.8$34.04$153.5$474
HELEN HAYES HOSPITALWEST HAVERSTRAWNY9$544$544$55.82$151.7$408
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY17$493$493$52.79$130.72$468.35
ALICE HYDE MEDICAL CENTERMALONENY12$463$463$65.21$107.2$453.74
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY15$358$358$65.21$104.96$322.2
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.