▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$132.25
Median
$164.8
Max
$596.46
Range multiplier
4.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 9 | 71 | $20.8 | $169.12 | $827.02 | 39.8× |
| Blue Cross Blue Shield | 6 | 70 | $69.13 | $152.3 | $600.74 | 8.7× |
| Emblem Health | 4 | 44 | $144.83 | $245.93 | $746.78 | 5.2× |
| Aetna | 7 | 35 | $101.24 | $185.22 | $981.57 | 9.7× |
| mvp | 5 | 33 | $115 | $198 | $729.18 | 6.3× |
| Healthfirst | 2 | 27 | $144.83 | $198 | $729.18 | 5.0× |
| Empire BCBS | 3 | 27 | $144.83 | $324.08 | $795.9 | 5.5× |
| Medicaid | 1 | 26 | $40.88 | $118.19 | $169.32 | 4.1× |
| Medicare | 2 | 21 | $91.87 | $127.58 | $293 | 3.2× |
| capital district physicians' health plan | 3 | 19 | $115.06 | $157.62 | $500.57 | 4.4× |
| fidelis care | 4 | 19 | $106.32 | $131.33 | $170.11 | 1.6× |
| fidelis | 2 | 18 | $144.83 | $195.09 | $729.18 | 5.0× |
| Molina | 2 | 17 | $56.57 | $192.17 | $729.18 | 12.9× |
| carelon | 1 | 14 | $62.44 | $113.9 | $165.36 | 2.6× |
| community care behavorial health university of pittsburgh medical center | 1 | 12 | $92 | $130 | $209 | 2.3× |
| Cigna | 4 | 11 | $153.44 | $518 | $823.17 | 5.4× |
| community care behavorial health healthchoices | 1 | 9 | $92 | $130 | $209 | 2.3× |
| vns | 1 | 8 | $144.83 | $181.85 | $324.08 | 2.2× |
| oxford | 3 | 8 | $167.19 | $182.6 | $908 | 5.4× |
| magnacare | 6 | 7 | $220 | $490.4 | $800 | 3.6× |
| Multiplan | 3 | 7 | $484.2 | $756 | $900 | 1.9× |
| Humana | 5 | 7 | $106.32 | $125.08 | $172.76 | 1.6× |
| univera | 1 | 6 | $112.08 | $122.97 | $149.36 | 1.3× |
| mvp 2900 | 1 | 6 | $111.17 | $152.54 | $506 | 4.6× |
| amerihealth | 1 | 6 | $94.89 | $131.04 | $149.11 | 1.6× |
| [magnacare] | 1 | 6 | $604.8 | $696.6 | $800 | 1.3× |
| choicecare | 2 | 6 | $137.59 | $169.86 | $386.25 | 2.8× |
| beacon health | 1 | 5 | $105.58 | $109.8 | $109.8 | 1.0× |
| VA Health | 3 | 4 | $125.08 | $125.08 | $164.8 | 1.3× |
| independent health 5156 | 1 | 4 | $163.35 | $199.15 | $242.48 | 1.5× |
| martins point | 3 | 4 | $157.62 | $157.62 | $164.8 | 1.0× |
| excellus 2201 | 1 | 4 | $106.32 | $129.53 | $157.62 | 1.5× |
| fidelis 5155 | 1 | 4 | $147.3 | $179.19 | $217.7 | 1.5× |
| geisinger | 1 | 4 | $131.04 | $137.82 | $144.59 | 1.1× |
| st. regis | 2 | 3 | $164.8 | $508.8 | $508.8 | 3.1× |
| [urn] | 1 | 3 | $655.2 | $729.3 | $780 | 1.2× |
| centers plan for healthy living | 2 | 3 | $149.04 | $152.5 | $198 | 1.3× |
| First Health | 2 | 3 | $457.3 | $571.5 | $572.4 | 1.3× |
| harvard pilgrim | 2 | 3 | $430.4 | $508 | $508.8 | 1.2× |
| [fidelis] | 1 | 3 | $190.02 | $190.02 | $190.02 | 1.0× |
| partners health plan | 1 | 2 | $198 | $198 | $198 | 1.0× |
| pennsylvania health and wellness | 1 | 2 | $119.29 | $127.43 | $135.56 | 1.1× |
| wellpath | 2 | 2 | $175.11 | $175.11 | $175.11 | 1.0× |
| 1199seiu national benefit funds | 1 | 2 | $208.88 | $246.64 | $284.4 | 1.4× |
| Anthem BCBS | 1 | 2 | $126.68 | $126.68 | $126.68 | 1.0× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $326.84 | $367.49 | $408.14 | 1.2× |
| [oxford] | 1 | 2 | $696.94 | $757.89 | $818.83 | 1.2× |
| [metroplus] | 1 | 2 | $332.54 | $491.2 | $649.87 | 2.0× |
| affinity | 1 | 2 | $175 | $175 | $175 | 1.0× |
| capital district (cdphp) | 1 | 2 | $697.5 | $697.5 | $697.5 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL FOR CANCER AND ALL | NEW YORK | NY | 18 | $1,000 | $1,000 | $145.8 | $596.46 | $981.57 |
| HELEN HAYES HOSPITAL | WEST HAVERSTRAW | NY | 9 | $930 | $930 | $90.95 | $245.93 | $697.5 |
| ST. JOSEPHS MEDICAL CENTER | YONKERS | NY | 15 | $1,559 | $198 | $144.83 | $200.82 | $908 |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | PLATTSBURGH | NY | 17 | $636 | $636 | $105.58 | $200 | $604.2 |
| ALICE HYDE MEDICAL CENTER | MALONE | NY | 12 | $613 | $613 | $106.32 | $164.8 | $600.74 |
| ELIZABETHTOWN COMMUNITY HOSPITAL | ELIZABETHTOWN | NY | 15 | $538 | $538 | $106.32 | $157.62 | $484.2 |
| NASSAU UNIVERSITY MEDICAL CENTER | EAST MEADOW | NY | 11 | $736 | $515.2 | $56.57 | $154.5 | $474 |
| FREDRICK FERRIS THOMPSON HOSPITAL | CANANDAIGUA | NY | 13 | $250 | $149.08 | $40.88 | $134.64 | $518 |
| WESTFIELD MEMORIAL HOSPITAL | WESTFIELD | NY | 15 | $592 | $461.76 | $20.8 | $132.25 | $374.85 |
| NYU LANGONE HOSPITALS | NEW YORK | NY | 0 | $1,569.75 | $298.25 | — | — | — |
| EASTERN LONG ISLAND HOSPITAL | GREENPORT | NY | 0 | $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.