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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
$92.00
Median
$131.27
Max
$419.90
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$20.80$150.91$761.2836.6×
Emblem Health447$112.37$233.73$761.286.8×
mvp537$75.00$181.20$761.2810.2×
Aetna735$59.40$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$293.004.4×
Molina221$34.03$304.28$761.2822.4×
carelon121$57.23$60.71$153.702.7×
capital district physicians' health plan319$88.26$120.91$402.034.6×
fidelis care419$77.47$95.70$160.122.1×
community care behavorial health university of pittsburgh medical center112$92.00$157.00$262.002.8×
Cigna511$87.04$154.75$629.277.2×
vns110$151.00$198.02$338.352.2×
community care behavorial health healthchoices19$92.00$157.00$262.002.8×
magnacare68$220.00$355.50$528.002.4×
Humana57$77.47$91.14$152.502.0×
Multiplan37$371.70$553.50$594.001.6×
oxford36$122.49$298.74$685.005.6×
univera16$81.85$89.80$109.071.3×
amerihealth16$57.14$78.91$89.791.6×
choicecare26$100.25$129.37$252.002.5×
[magnacare]16$392.40$459.00$528.001.3×
mvp 290016$67.97$100.98$506.007.4×
VA Health35$91.14$91.14$107.521.2×
beacon health15$44.34$90.27$106.202.4×
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$175.005.2×
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$425.10$479.70$514.801.2×
First Health23$351.05$459.00$531.001.5×
harvard pilgrim23$330.40$408.00$472.001.4×
[fidelis]13$145.26$145.26$145.261.0×
st. regis23$105.00$105.00$107.521.0×
centers plan for healthy living23$107.63$151.00$152.501.4×
[oxford]12$451.22$490.68$530.131.2×
valueoptions12$47.00$47.00$47.001.0×
Anthem BCBS12$91.49$91.49$91.491.0×
capital district physicians health plan (cdphp) 514912$239.50$276.48$313.461.3×
partners health plan12$151.00$151.00$151.001.0×
pennsylvania health and wellness12$71.83$76.73$81.631.1×
[metroplus]12$254.21$375.50$496.792.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fredrick Ferris Thompson HospitalCanandaiguaNY13$490.00$245.00$24.59$95.41$518.00
Westfield Memorial HospitalWestfieldNY15$592.00$461.76$20.80$92.00$271.52
Memorial Hospital For Cancer And AllNew YorkNY18$660.00$660.00$105.48$419.90$647.31
St. Josephs Medical CenterYonkersNY15$1,118.00$151.00$96.00$304.28$761.28
Helen Hayes HospitalWest HaverstrawNY8$560.00$560.00$33.69$175.00$420.00
Nassau University Medical CenterEast MeadowNY13$974.00$681.80$34.03$152.50$522.96
Champlain Valley Physicians HospitalPlattsburghNY17$590.00$590.00$44.34$131.27$560.50
Elizabethtown Community HospitalElizabethtownNY15$413.00$413.00$75.00$120.91$371.70
Alice Hyde Medical CenterMaloneNY12$465.00$465.00$75.00$107.52$455.70
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.