▸ 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 | $474.00 | 65.2× |
| UnitedHealthcare | 9 | 75 | $6.04 | $24.00 | $1,517.88 | 251.3× |
| fidelis care | 4 | 30 | $6.98 | $10.83 | $160.12 | 22.9× |
| mvp | 5 | 29 | $8.21 | $28.00 | $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 | $164.00 | 26.9× |
| amerihealth | 1 | 18 | $21.00 | $34.13 | $66.00 | 3.1× |
| Emblem Health | 5 | 18 | $15.75 | $41.36 | $1,517.88 | 96.4× |
| carelon | 1 | 14 | $43.10 | $47.41 | $51.71 | 1.2× |
| community care behavorial health university of pittsburgh medical center | 1 | 12 | $12.00 | $35.00 | $55.00 | 4.6× |
| Cigna | 5 | 11 | $10.98 | $48.00 | $1,496.47 | 136.3× |
| geisinger | 1 | 10 | $29.00 | $47.13 | $64.00 | 2.2× |
| community care behavorial health healthchoices | 1 | 9 | $12.00 | $35.00 | $55.00 | 4.6× |
| choicecare | 2 | 8 | $9.03 | $29.01 | $137.25 | 15.2× |
| Humana | 5 | 7 | $6.98 | $8.21 | $152.50 | 21.8× |
| magnacare | 5 | 7 | $60.00 | $146.40 | $339.00 | 5.7× |
| univera | 1 | 6 | $7.39 | $8.11 | $9.85 | 1.3× |
| mvp 2900 | 1 | 6 | $7.96 | $21.35 | $280.00 | 35.2× |
| oxford | 2 | 6 | $11.10 | $11.10 | $228.36 | 20.6× |
| affinity | 1 | 6 | $4.32 | $4.32 | $175.00 | 40.5× |
| VA Health | 3 | 6 | $8.21 | $8.40 | $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 | $67.50 | $152.95 | $1,751.40 | 25.9× |
| beacon health | 1 | 5 | $10.60 | $12.47 | $19.95 | 1.9× |
| martins point | 3 | 5 | $21.71 | $21.71 | $58.56 | 2.7× |
| pennsylvania health and wellness | 1 | 5 | $26.40 | $42.90 | $60.00 | 2.3× |
| Healthfirst | 2 | 5 | $28.00 | $311.32 | $1,167.60 | 41.7× |
| First Health | 2 | 4 | $63.75 | $104.33 | $153.90 | 2.4× |
| harvard pilgrim | 2 | 4 | $60.00 | $94.40 | $136.80 | 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 | $284.40 | 2.1× |
| centers plan for healthy living | 2 | 3 | $9.54 | $28.00 | $152.50 | 16.0× |
| emblemhealth | 1 | 3 | $16.70 | $99.72 | $144.87 | 8.7× |
| fidelis | 1 | 3 | $28.00 | $138.36 | $311.32 | 11.1× |
| st. regis | 2 | 3 | $58.56 | $128.80 | $128.80 | 2.2× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $21.70 | $39.18 | $56.65 | 2.6× |
| [magnacare] | 1 | 2 | $1,245.44 | $1,401.12 | $1,556.80 | 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 | $1,264.90 | $1,391.39 | $1,517.88 | 1.2× |
| valueoptions | 1 | 2 | $18.00 | $18.00 | $18.00 | 1.0× |
| vns | 1 | 2 | $28.00 | $83.18 | $138.36 | 4.9× |
| capital district (cdphp) | 1 | 2 | $48.00 | $48.00 | $48.00 | 1.0× |
| partners health plan | 1 | 2 | $28.00 | $28.00 | $28.00 | 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 | $338.00 | $263.64 | $7.39 | $32.00 | $66.00 |
| Helen Hayes Hospital | West Haverstraw | NY | 9 | $216.00 | $216.00 | $4.32 | $28.56 | $284.00 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 16 | $75.00 | $75.00 | $6.98 | $28.50 | $69.08 |
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 17 | $171.00 | $171.00 | $8.21 | $24.32 | $162.45 |
| Alice Hyde Medical Center | Malone | NY | 12 | $183.00 | $183.00 | $6.98 | $22.10 | $179.34 |
| Nassau University Medical Center | East Meadow | NY | 13 | $474.00 | $331.80 | $4.36 | $152.50 | $474.00 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $325.00 | $162.00 | $3.15 | $14.36 | $285.00 |
| Memorial Hospital For Cancer And All | New York | NY | 10 | $1,946.00 | $1,946.00 | $778.40 | $1,373.88 | $1,751.40 |
| St. Josephs Medical Center | Yonkers | NY | 15 | $381.00 | $28.00 | $18.98 | $105.18 | $339.00 |
| 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.