▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$176.31
Median
$208.14
Max
$796.99
Range multiplier
4.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 74 | $86.68 | $202.74 | $704.62 | 8.1× |
| UnitedHealthcare | 9 | 65 | $20.80 | $208.14 | $1,109.25 | 53.3× |
| Aetna | 7 | 35 | $124.74 | $250.00 | $1,237.95 | 9.9× |
| Emblem Health | 4 | 32 | $192.05 | $336.54 | $1,109.25 | 5.8× |
| mvp | 5 | 27 | $145.00 | $275.69 | $1,109.25 | 7.7× |
| Medicaid | 1 | 26 | $53.17 | $156.42 | $223.31 | 4.2× |
| Empire BCBS | 3 | 22 | $72.86 | $391.98 | $1,109.25 | 15.2× |
| Medicare | 2 | 21 | $125.70 | $170.70 | $212.30 | 1.7× |
| Healthfirst | 2 | 21 | $192.05 | $351.85 | $1,109.25 | 5.8× |
| fidelis care | 4 | 19 | $144.56 | $170.07 | $231.30 | 1.6× |
| capital district physicians' health plan | 3 | 19 | $151.94 | $208.14 | $627.49 | 4.1× |
| carelon | 1 | 14 | $67.64 | $124.45 | $181.26 | 2.7× |
| community care behavorial health university of pittsburgh medical center | 1 | 12 | $110.00 | $209.00 | $262.00 | 2.4× |
| amerihealth | 1 | 12 | $63.00 | $111.21 | $193.94 | 3.1× |
| fidelis | 2 | 12 | $192.05 | $313.77 | $1,109.25 | 5.8× |
| Cigna | 5 | 12 | $87.04 | $325.81 | $1,085.43 | 12.5× |
| Molina | 2 | 11 | $73.59 | $351.85 | $1,109.25 | 15.1× |
| community care behavorial health healthchoices | 1 | 9 | $110.00 | $209.00 | $262.00 | 2.4× |
| oxford | 3 | 8 | $226.98 | $243.99 | $1,027.00 | 4.5× |
| magnacare | 6 | 8 | $220.00 | $571.60 | $1,008.00 | 4.6× |
| geisinger | 1 | 8 | $87.00 | $133.22 | $188.06 | 2.2× |
| Multiplan | 3 | 7 | $639.00 | $940.50 | $1,134.00 | 1.8× |
| Humana | 5 | 7 | $144.56 | $161.57 | $214.18 | 1.5× |
| [magnacare] | 1 | 6 | $752.40 | $876.60 | $1,008.00 | 1.3× |
| mvp 2900 | 1 | 6 | $145.25 | $192.88 | $340.15 | 2.3× |
| univera | 1 | 6 | $152.38 | $167.18 | $203.05 | 1.3× |
| choicecare | 2 | 6 | $172.80 | $222.39 | $405.00 | 2.3× |
| beacon health | 1 | 5 | $105.58 | $109.80 | $109.80 | 1.0× |
| vns | 1 | 5 | $192.05 | $275.69 | $493.00 | 2.6× |
| fidelis 5155 | 1 | 4 | $200.26 | $239.84 | $287.12 | 1.4× |
| independent health 5156 | 1 | 4 | $222.11 | $266.72 | $320.15 | 1.4× |
| VA Health | 3 | 4 | $170.07 | $170.07 | $172.80 | 1.0× |
| martins point | 3 | 4 | $172.80 | $208.13 | $208.13 | 1.2× |
| affinity | 1 | 4 | $72.86 | $72.86 | $72.86 | 1.0× |
| excellus 2201 | 1 | 4 | $144.56 | $173.50 | $208.14 | 1.4× |
| pennsylvania health and wellness | 1 | 4 | $79.20 | $122.58 | $176.31 | 2.2× |
| st. regis | 2 | 3 | $172.80 | $647.20 | $647.20 | 3.7× |
| [urn] | 1 | 3 | $815.10 | $916.50 | $982.80 | 1.2× |
| 1199seiu national benefit funds | 1 | 3 | $208.88 | $266.09 | $284.40 | 1.4× |
| centers plan for healthy living | 2 | 3 | $152.50 | $203.31 | $261.00 | 1.7× |
| emblemhealth | 1 | 3 | $144.87 | $156.66 | $355.79 | 2.5× |
| First Health | 2 | 3 | $603.50 | $716.40 | $728.10 | 1.2× |
| harvard pilgrim | 2 | 3 | $568.00 | $636.80 | $647.20 | 1.1× |
| [fidelis] | 1 | 3 | $250.56 | $250.56 | $250.56 | 1.0× |
| wellpath | 2 | 2 | $238.10 | $238.10 | $238.10 | 1.0× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $443.72 | $491.29 | $538.85 | 1.2× |
| capital district (cdphp) | 1 | 2 | $909.75 | $909.75 | $909.75 | 1.0× |
| Anthem BCBS | 1 | 2 | $172.81 | $172.81 | $172.81 | 1.0× |
| [oxford] | 1 | 2 | $865.45 | $941.14 | $1,016.83 | 1.2× |
| [metroplus] | 1 | 2 | $438.48 | $647.70 | $856.92 | 2.0× |
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 | $1,260.00 | $1,260.00 | $195.47 | $796.99 | $1,237.95 |
| St. Josephs Medical Center | Yonkers | NY | 15 | $2,030.00 | $261.00 | $179.20 | $351.85 | $1,109.25 |
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 17 | $809.00 | $809.00 | $105.58 | $252.85 | $768.55 |
| Helen Hayes Hospital | West Haverstraw | NY | 8 | $1,213.00 | $1,213.00 | $72.86 | $226.98 | $909.75 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 15 | $710.00 | $710.00 | $144.56 | $208.14 | $639.00 |
| Nassau University Medical Center | East Meadow | NY | 12 | $965.00 | $675.50 | $73.59 | $180.00 | $540.80 |
| Alice Hyde Medical Center | Malone | NY | 12 | $719.00 | $719.00 | $144.56 | $178.57 | $704.62 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $320.00 | $190.82 | $53.17 | $176.92 | $538.85 |
| Westfield Memorial Hospital | Westfield | NY | 15 | $677.00 | $528.06 | $20.80 | $176.31 | $472.50 |
| 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.