▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$64.55
Median
$90.68
Max
$288.19
Range multiplier
4.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 9 | 78 | $20.80 | $92.10 | $524.74 | 25.2× |
| Blue Cross Blue Shield | 6 | 76 | $29.93 | $84.86 | $474.00 | 15.8× |
| Emblem Health | 4 | 46 | $80.06 | $165.33 | $524.74 | 6.6× |
| mvp | 5 | 36 | $53.00 | $161.75 | $524.74 | 9.9× |
| Aetna | 7 | 35 | $43.89 | $91.68 | $448.47 | 10.2× |
| Empire BCBS | 3 | 31 | $21.54 | $217.42 | $524.74 | 24.4× |
| Healthfirst | 2 | 29 | $71.64 | $191.49 | $524.74 | 7.3× |
| Medicaid | 1 | 26 | $17.57 | $61.25 | $92.11 | 5.2× |
| carelon | 1 | 21 | $52.02 | $55.19 | $139.92 | 2.7× |
| Medicare | 2 | 21 | $44.17 | $63.16 | $278.00 | 6.3× |
| fidelis | 2 | 20 | $71.64 | $208.09 | $524.74 | 7.3× |
| fidelis care | 4 | 19 | $52.63 | $65.02 | $160.12 | 3.0× |
| Molina | 2 | 19 | $21.76 | $217.42 | $524.74 | 24.1× |
| capital district physicians' health plan | 3 | 19 | $62.68 | $85.86 | $339.76 | 5.4× |
| community care behavorial health university of pittsburgh medical center | 1 | 16 | $75.00 | $108.13 | $157.00 | 2.1× |
| Cigna | 5 | 13 | $60.89 | $230.05 | $3,498.00 | 57.4× |
| community care behavorial health healthchoices | 1 | 12 | $75.00 | $108.13 | $157.00 | 2.1× |
| amerihealth | 1 | 10 | $36.75 | $50.75 | $66.00 | 1.8× |
| vns | 1 | 9 | $107.00 | $191.49 | $233.22 | 2.2× |
| magnacare | 6 | 9 | $169.02 | $298.40 | $368.00 | 2.2× |
| oxford | 3 | 8 | $82.89 | $94.95 | $480.00 | 5.8× |
| Multiplan | 3 | 7 | $263.70 | $387.00 | $414.00 | 1.6× |
| Humana | 5 | 7 | $52.63 | $61.92 | $152.50 | 2.9× |
| univera | 1 | 6 | $55.48 | $60.87 | $73.93 | 1.3× |
| mvp 2900 | 1 | 6 | $44.12 | $69.49 | $481.00 | 10.9× |
| affinity | 1 | 6 | $21.54 | $21.54 | $175.00 | 8.1× |
| [magnacare] | 1 | 6 | $270.00 | $320.40 | $368.00 | 1.4× |
| geisinger | 1 | 6 | $50.75 | $58.00 | $64.00 | 1.3× |
| choicecare | 2 | 6 | $68.11 | $91.38 | $170.25 | 2.5× |
| VA Health | 3 | 5 | $61.92 | $61.92 | $72.64 | 1.2× |
| beacon health | 1 | 5 | $38.80 | $58.88 | $69.27 | 1.8× |
| independent health 5156 | 1 | 4 | $80.85 | $103.72 | $132.13 | 1.6× |
| 1199seiu national benefit funds | 1 | 4 | $76.06 | $172.05 | $284.40 | 3.7× |
| emblemhealth | 1 | 4 | $57.05 | $114.66 | $144.87 | 2.5× |
| excellus 2201 | 1 | 4 | $52.63 | $67.45 | $85.86 | 1.6× |
| fidelis 5155 | 1 | 4 | $72.91 | $93.24 | $118.42 | 1.6× |
| martins point | 3 | 4 | $72.64 | $85.86 | $85.86 | 1.2× |
| First Health | 2 | 3 | $249.05 | $366.30 | $387.90 | 1.6× |
| [fidelis] | 1 | 3 | $103.22 | $103.22 | $103.22 | 1.0× |
| centers plan for healthy living | 2 | 3 | $73.09 | $107.00 | $152.50 | 2.1× |
| pennsylvania health and wellness | 1 | 3 | $46.20 | $52.80 | $60.00 | 1.3× |
| st. regis | 2 | 3 | $70.00 | $70.00 | $72.64 | 1.0× |
| [urn] | 1 | 3 | $292.50 | $335.40 | $358.80 | 1.2× |
| harvard pilgrim | 2 | 3 | $234.40 | $325.60 | $344.80 | 1.5× |
| wellpath | 2 | 2 | $86.69 | $86.69 | $86.69 | 1.0× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $162.06 | $191.74 | $221.41 | 1.4× |
| capital district (cdphp) | 1 | 2 | $274.50 | $274.50 | $274.50 | 1.0× |
| Anthem BCBS | 1 | 2 | $62.13 | $62.13 | $62.13 | 1.0× |
| partners health plan | 1 | 2 | $107.00 | $107.00 | $107.00 | 1.0× |
| valueoptions | 1 | 2 | $65.00 | $65.00 | $65.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 17 | $431.00 | $431.00 | $38.80 | $90.68 | $409.45 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 15 | $293.00 | $293.00 | $52.63 | $85.86 | $263.70 |
| Alice Hyde Medical Center | Malone | NY | 12 | $373.00 | $373.00 | $52.63 | $72.64 | $365.54 |
| Westfield Memorial Hospital | Westfield | NY | 15 | $508.00 | $396.24 | $20.80 | $66.00 | $192.21 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $420.00 | $210.00 | $17.57 | $64.55 | $490.00 |
| Memorial Hospital For Cancer And All | New York | NY | 18 | $460.00 | $460.00 | $71.64 | $288.19 | $448.47 |
| St. Josephs Medical Center | Yonkers | NY | 15 | $847.00 | $107.00 | $72.96 | $217.42 | $524.74 |
| Nassau University Medical Center | East Meadow | NY | 13 | $474.00 | $331.80 | $21.76 | $152.50 | $3,498.00 |
| Helen Hayes Hospital | West Haverstraw | NY | 9 | $366.00 | $366.00 | $21.54 | $120.53 | $284.00 |
| 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.