▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$38.59
Median
$53.18
Max
$802.20
Range multiplier
20.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 9 | 96 | $20.80 | $58.83 | $3,829.02 | 184.1× |
| Blue Cross Blue Shield | 6 | 76 | $18.78 | $52.35 | $474.00 | 25.2× |
| Emblem Health | 4 | 70 | $50.32 | $212.06 | $3,829.02 | 76.1× |
| Aetna | 7 | 53 | $20.35 | $157.38 | $3,829.02 | 188.2× |
| Empire BCBS | 3 | 49 | $11.36 | $327.58 | $3,190.85 | 280.9× |
| Healthfirst | 2 | 41 | $38.11 | $218.28 | $2,945.40 | 77.3× |
| mvp | 5 | 36 | $33.04 | $145.00 | $491.12 | 14.9× |
| Medicaid | 1 | 26 | $8.30 | $34.77 | $57.18 | 6.9× |
| carelon | 1 | 21 | $46.82 | $49.67 | $126.14 | 2.7× |
| Medicare | 2 | 21 | $22.14 | $33.70 | $210.00 | 9.5× |
| fidelis | 2 | 20 | $38.11 | $200.54 | $491.12 | 12.9× |
| fidelis care | 4 | 19 | $28.08 | $34.69 | $160.12 | 5.7× |
| Molina | 2 | 19 | $11.47 | $205.84 | $491.12 | 42.8× |
| capital district physicians' health plan | 3 | 19 | $38.68 | $52.99 | $171.89 | 4.4× |
| amerihealth | 1 | 18 | $27.30 | $42.00 | $66.00 | 2.4× |
| Cigna | 5 | 18 | $30.52 | $170.38 | $3,775.02 | 123.7× |
| [magnacare] | 1 | 18 | $165.60 | $898.80 | $3,927.20 | 23.7× |
| [metroplus] | 1 | 14 | $113.07 | $2,092.35 | $3,829.02 | 33.9× |
| [oxford] | 1 | 14 | $184.68 | $2,124.54 | $3,829.02 | 20.7× |
| Multiplan | 3 | 13 | $163.80 | $256.50 | $4,418.10 | 27.0× |
| geisinger | 1 | 10 | $37.70 | $47.13 | $64.00 | 1.7× |
| vns | 1 | 9 | $68.00 | $181.20 | $218.28 | 3.2× |
| [urn] | 1 | 9 | $179.40 | $813.66 | $3,485.39 | 19.4× |
| magnacare | 6 | 8 | $145.60 | $224.00 | $339.00 | 2.3× |
| community care behavorial health university of pittsburgh medical center | 1 | 8 | $55.00 | $67.50 | $80.00 | 1.5× |
| oxford | 3 | 8 | $44.25 | $56.13 | $376.86 | 8.5× |
| Humana | 5 | 7 | $28.08 | $33.04 | $152.50 | 5.4× |
| univera | 1 | 6 | $29.68 | $32.57 | $39.56 | 1.3× |
| mvp 2900 | 1 | 6 | $22.11 | $41.96 | $360.00 | 16.3× |
| community care behavorial health healthchoices | 1 | 6 | $55.00 | $67.50 | $80.00 | 1.5× |
| choicecare | 2 | 6 | $36.34 | $58.93 | $137.25 | 3.8× |
| affinity | 1 | 6 | $11.36 | $11.36 | $175.00 | 15.4× |
| VA Health | 3 | 5 | $33.04 | $33.04 | $58.56 | 1.8× |
| beacon health | 1 | 5 | $29.16 | $34.30 | $43.23 | 1.5× |
| pennsylvania health and wellness | 1 | 5 | $34.32 | $42.90 | $60.00 | 1.7× |
| independent health 5156 | 1 | 4 | $43.14 | $60.05 | $81.59 | 1.9× |
| 1199seiu national benefit funds | 1 | 4 | $55.88 | $138.85 | $284.40 | 5.1× |
| emblemhealth | 1 | 4 | $41.91 | $59.80 | $144.87 | 3.5× |
| excellus 2201 | 1 | 4 | $28.08 | $39.04 | $52.99 | 1.9× |
| fidelis 5155 | 1 | 4 | $39.01 | $54.21 | $73.52 | 1.9× |
| martins point | 3 | 4 | $52.99 | $52.99 | $58.56 | 1.1× |
| [fidelis] | 1 | 3 | $64.61 | $64.61 | $64.61 | 1.0× |
| harvard pilgrim | 2 | 3 | $145.60 | $153.60 | $207.20 | 1.4× |
| centers plan for healthy living | 2 | 3 | $38.85 | $68.00 | $152.50 | 3.9× |
| st. regis | 2 | 3 | $47.25 | $47.25 | $58.56 | 1.2× |
| First Health | 2 | 3 | $154.70 | $172.80 | $233.10 | 1.5× |
| partners health plan | 1 | 2 | $68.00 | $68.00 | $68.00 | 1.0× |
| capital district (cdphp) | 1 | 2 | $140.25 | $140.25 | $140.25 | 1.0× |
| Anthem BCBS | 1 | 2 | $33.02 | $33.02 | $33.02 | 1.0× |
| wellpath | 2 | 2 | $46.26 | $46.26 | $46.26 | 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 | $4,909.00 | $4,909.00 | $38.11 | $802.20 | $4,418.10 |
| Helen Hayes Hospital | West Haverstraw | NY | 9 | $187.00 | $187.00 | $11.36 | $63.96 | $284.00 |
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 17 | $259.00 | $259.00 | $29.16 | $53.18 | $246.05 |
| Alice Hyde Medical Center | Malone | NY | 12 | $299.00 | $299.00 | $28.08 | $52.99 | $293.02 |
| Westfield Memorial Hospital | Westfield | NY | 15 | $423.00 | $329.94 | $20.80 | $46.82 | $126.14 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 15 | $182.00 | $182.00 | $28.08 | $46.26 | $163.80 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $370.00 | $185.00 | $8.30 | $38.59 | $366.00 |
| St. Josephs Medical Center | Yonkers | NY | 15 | $847.00 | $68.00 | $41.37 | $205.84 | $491.12 |
| Nassau University Medical Center | East Meadow | NY | 13 | $651.00 | $455.70 | $11.47 | $114.68 | $474.00 |
| Eastern Long Island Hospital | Greenport | NY | 0 | $1,569.75 | $298.25 | — | — | — |
| Nyu Langone Hospitals | New York | 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.