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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$92
Median
$131.27
Max
$419.9
Range multiplier
4.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield676$44.94$115.09$522.9611.6×
UnitedHealthcare973$20.8$150.91$761.2836.6×
Emblem Health447$112.37$233.73$761.286.8×
mvp537$75$181.2$761.2810.2×
Aetna735$59.4$135.27$647.3110.9×
Empire BCBS332$33.69$321.32$761.2822.6×
Healthfirst231$105.48$237.33$761.287.2×
Medicaid126$24.59$89.76$130.065.3×
fidelis222$105.48$271.61$761.287.2×
Medicare221$66.69$92.91$2934.4×
Molina221$34.03$304.28$761.2822.4×
carelon121$57.23$60.71$153.72.7×
capital district physicians' health plan319$88.26$120.91$402.034.6×
fidelis care419$77.47$95.7$160.122.1×
community care behavorial health university of pittsburgh medical center112$92$157$2622.8×
Cigna511$87.04$154.75$629.277.2×
vns110$151$198.02$338.352.2×
community care behavorial health healthchoices19$92$157$2622.8×
magnacare68$220$355.5$5282.4×
Humana57$77.47$91.14$152.52.0×
Multiplan37$371.7$553.5$5941.6×
oxford36$122.49$298.74$6855.6×
univera16$81.85$89.8$109.071.3×
amerihealth16$57.14$78.91$89.791.6×
choicecare26$100.25$129.37$2522.5×
[magnacare]16$392.4$459$5281.3×
mvp 290016$67.97$100.98$5067.4×
VA Health35$91.14$91.14$107.521.2×
beacon health15$44.34$90.27$106.22.4×
excellus 220114$77.47$96.96$120.911.6×
1199seiu national benefit funds14$132.96$246.64$313.782.4×
martins point34$107.52$120.91$120.911.1×
affinity14$33.69$104.35$1755.2×
geisinger14$78.91$82.99$87.071.1×
fidelis 515514$107.57$134.37$167.221.6×
independent health 515614$119.01$149.07$186.041.6×
emblemhealth13$99.72$144.87$188.351.9×
[urn]13$425.1$479.7$514.81.2×
First Health23$351.05$459$5311.5×
harvard pilgrim23$330.4$408$4721.4×
[fidelis]13$145.26$145.26$145.261.0×
st. regis23$105$105$107.521.0×
centers plan for healthy living23$107.63$151$152.51.4×
[oxford]12$451.22$490.68$530.131.2×
valueoptions12$47$47$471.0×
Anthem BCBS12$91.49$91.49$91.491.0×
capital district physicians health plan (cdphp) 514912$239.5$276.48$313.461.3×
partners health plan12$151$151$1511.0×
pennsylvania health and wellness12$71.83$76.73$81.631.1×
[metroplus]12$254.21$375.5$496.792.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$490$245$24.59$95.41$518
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$592$461.76$20.8$92$271.52
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$660$660$105.48$419.9$647.31
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$1,118$151$96$304.28$761.28
HELEN HAYES HOSPITALWEST HAVERSTRAWNY8$560$560$33.69$175$420
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY13$974$681.8$34.03$152.5$522.96
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY17$590$590$44.34$131.27$560.5
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY15$413$413$75$120.91$371.7
ALICE HYDE MEDICAL CENTERMALONENY12$465$465$75$107.52$455.7
NYU LANGONE HOSPITALSNEW YORKNY0$1,569.75$298.25
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$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.