▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$14.36
Median
$28.56
Max
$1,373.88
Range multiplier
95.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 87 | $7.27 | $21.28 | $474 | 65.2× |
| UnitedHealthcare | 9 | 75 | $6.04 | $24 | $1,517.88 | 251.3× |
| fidelis care | 4 | 30 | $6.98 | $10.83 | $160.12 | 22.9× |
| mvp | 5 | 29 | $8.21 | $28 | $311.32 | 37.9× |
| Aetna | 7 | 29 | $6.98 | $21.71 | $1,517.88 | 217.5× |
| Medicaid | 1 | 26 | $3.15 | $12.08 | $23.47 | 7.5× |
| capital district physicians' health plan | 3 | 23 | $15.85 | $21.71 | $171.89 | 10.8× |
| Medicare | 2 | 21 | $6.09 | $8.64 | $164 | 26.9× |
| amerihealth | 1 | 18 | $21 | $34.13 | $66 | 3.1× |
| Emblem Health | 5 | 18 | $15.75 | $41.36 | $1,517.88 | 96.4× |
| carelon | 1 | 14 | $43.1 | $47.41 | $51.71 | 1.2× |
| community care behavorial health university of pittsburgh medical center | 1 | 12 | $12 | $35 | $55 | 4.6× |
| Cigna | 5 | 11 | $10.98 | $48 | $1,496.47 | 136.3× |
| geisinger | 1 | 10 | $29 | $47.13 | $64 | 2.2× |
| community care behavorial health healthchoices | 1 | 9 | $12 | $35 | $55 | 4.6× |
| choicecare | 2 | 8 | $9.03 | $29.01 | $137.25 | 15.2× |
| Humana | 5 | 7 | $6.98 | $8.21 | $152.5 | 21.8× |
| magnacare | 5 | 7 | $60 | $146.4 | $339 | 5.7× |
| univera | 1 | 6 | $7.39 | $8.11 | $9.85 | 1.3× |
| mvp 2900 | 1 | 6 | $7.96 | $21.35 | $280 | 35.2× |
| oxford | 2 | 6 | $11.1 | $11.1 | $228.36 | 20.6× |
| affinity | 1 | 6 | $4.32 | $4.32 | $175 | 40.5× |
| VA Health | 3 | 6 | $8.21 | $8.4 | $58.56 | 7.1× |
| Empire BCBS | 2 | 6 | $4.32 | $83.18 | $311.32 | 72.1× |
| Molina | 2 | 5 | $4.36 | $8.11 | $311.32 | 71.4× |
| Multiplan | 3 | 5 | $67.5 | $152.95 | $1,751.4 | 25.9× |
| beacon health | 1 | 5 | $10.6 | $12.47 | $19.95 | 1.9× |
| martins point | 3 | 5 | $21.71 | $21.71 | $58.56 | 2.7× |
| pennsylvania health and wellness | 1 | 5 | $26.4 | $42.9 | $60 | 2.3× |
| Healthfirst | 2 | 5 | $28 | $311.32 | $1,167.6 | 41.7× |
| First Health | 2 | 4 | $63.75 | $104.33 | $153.9 | 2.4× |
| harvard pilgrim | 2 | 4 | $60 | $94.4 | $136.8 | 2.3× |
| excellus 2201 | 1 | 4 | $6.98 | $13.33 | $21.71 | 3.1× |
| fidelis 5155 | 1 | 4 | $9.72 | $18.56 | $30.17 | 3.1× |
| independent health 5156 | 1 | 4 | $10.72 | $20.54 | $33.48 | 3.1× |
| wellpath | 2 | 3 | $11.49 | $11.49 | $42.75 | 3.7× |
| 1199seiu national benefit funds | 1 | 3 | $132.96 | $208.88 | $284.4 | 2.1× |
| centers plan for healthy living | 2 | 3 | $9.54 | $28 | $152.5 | 16.0× |
| emblemhealth | 1 | 3 | $16.7 | $99.72 | $144.87 | 8.7× |
| fidelis | 1 | 3 | $28 | $138.36 | $311.32 | 11.1× |
| st. regis | 2 | 3 | $58.56 | $128.8 | $128.8 | 2.2× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $21.7 | $39.18 | $56.65 | 2.6× |
| [magnacare] | 1 | 2 | $1,245.44 | $1,401.12 | $1,556.8 | 1.3× |
| Anthem BCBS | 1 | 2 | $8.11 | $8.11 | $8.11 | 1.0× |
| [oxford] | 1 | 2 | $1,284.36 | $1,401.12 | $1,517.88 | 1.2× |
| [metroplus] | 1 | 2 | $1,264.9 | $1,391.39 | $1,517.88 | 1.2× |
| valueoptions | 1 | 2 | $18 | $18 | $18 | 1.0× |
| vns | 1 | 2 | $28 | $83.18 | $138.36 | 4.9× |
| capital district (cdphp) | 1 | 2 | $48 | $48 | $48 | 1.0× |
| partners health plan | 1 | 2 | $28 | $28 | $28 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL | WESTFIELD | NY | 15 | $338 | $263.64 | $7.39 | $32 | $66 |
| HELEN HAYES HOSPITAL | WEST HAVERSTRAW | NY | 9 | $216 | $216 | $4.32 | $28.56 | $284 |
| ELIZABETHTOWN COMMUNITY HOSPITAL | ELIZABETHTOWN | NY | 16 | $75 | $75 | $6.98 | $28.5 | $69.08 |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | PLATTSBURGH | NY | 17 | $171 | $171 | $8.21 | $24.32 | $162.45 |
| ALICE HYDE MEDICAL CENTER | MALONE | NY | 12 | $183 | $183 | $6.98 | $22.1 | $179.34 |
| NASSAU UNIVERSITY MEDICAL CENTER | EAST MEADOW | NY | 13 | $474 | $331.8 | $4.36 | $152.5 | $474 |
| FREDRICK FERRIS THOMPSON HOSPITAL | CANANDAIGUA | NY | 13 | $325 | $162 | $3.15 | $14.36 | $285 |
| MEMORIAL HOSPITAL FOR CANCER AND ALL | NEW YORK | NY | 10 | $1,946 | $1,946 | $778.4 | $1,373.88 | $1,751.4 |
| ST. JOSEPHS MEDICAL CENTER | YONKERS | NY | 15 | $381 | $28 | $18.98 | $105.18 | $339 |
| 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.