▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$131.47
Median
$169.83
Max
$756.06
Range multiplier
5.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 72 | $60.64 | $154.23 | $546.84 | 9.0× |
| UnitedHealthcare | 9 | 70 | $20.80 | $190.00 | $2,908.62 | 139.8× |
| Emblem Health | 3 | 45 | $158.93 | $492.80 | $2,908.62 | 18.3× |
| Aetna | 7 | 44 | $89.06 | $278.62 | $2,908.62 | 32.7× |
| Empire BCBS | 3 | 32 | $48.41 | $571.45 | $2,423.85 | 50.1× |
| Healthfirst | 2 | 29 | $155.98 | $350.96 | $2,237.40 | 14.3× |
| mvp | 4 | 28 | $102.00 | $220.24 | $747.22 | 7.3× |
| Medicaid | 1 | 26 | $35.33 | $124.85 | $183.10 | 5.2× |
| Medicare | 2 | 21 | $96.18 | $134.48 | $173.23 | 1.8× |
| carelon | 1 | 21 | $62.44 | $64.31 | $167.48 | 2.7× |
| fidelis care | 4 | 19 | $114.61 | $141.57 | $183.37 | 1.6× |
| capital district physicians' health plan | 3 | 19 | $123.98 | $169.83 | $485.59 | 3.9× |
| Cigna | 5 | 14 | $87.04 | $373.74 | $2,867.60 | 32.9× |
| fidelis | 2 | 14 | $155.98 | $299.35 | $747.22 | 4.8× |
| Molina | 2 | 13 | $48.89 | $313.32 | $747.22 | 15.3× |
| [magnacare] | 1 | 12 | $525.60 | $1,386.96 | $2,983.20 | 5.7× |
| community care behavorial health university of pittsburgh medical center | 1 | 12 | $110.00 | $209.00 | $366.00 | 3.3× |
| Multiplan | 3 | 10 | $523.80 | $769.50 | $3,356.10 | 6.4× |
| community care behavorial health healthchoices | 1 | 9 | $110.00 | $209.00 | $366.00 | 3.3× |
| magnacare | 6 | 8 | $220.00 | $456.00 | $716.00 | 3.3× |
| [metroplus] | 1 | 8 | $357.95 | $2,419.95 | $2,908.62 | 8.1× |
| [oxford] | 1 | 8 | $602.48 | $2,457.18 | $2,908.62 | 4.8× |
| Humana | 5 | 7 | $114.61 | $134.83 | $152.50 | 1.3× |
| choicecare | 2 | 6 | $143.68 | $181.42 | $336.75 | 2.3× |
| univera | 1 | 6 | $121.35 | $133.14 | $161.71 | 1.3× |
| amerihealth | 1 | 6 | $81.95 | $113.17 | $128.78 | 1.6× |
| vns | 1 | 6 | $200.31 | $257.43 | $332.10 | 1.7× |
| [urn] | 1 | 6 | $569.40 | $1,491.09 | $2,647.59 | 4.6× |
| mvp 2900 | 1 | 6 | $96.05 | $135.76 | $267.97 | 2.8× |
| oxford | 3 | 6 | $180.25 | $403.57 | $809.82 | 4.5× |
| beacon health | 1 | 5 | $70.95 | $127.53 | $150.04 | 2.1× |
| VA Health | 3 | 5 | $134.83 | $134.83 | $143.68 | 1.1× |
| geisinger | 1 | 4 | $113.17 | $119.03 | $124.88 | 1.1× |
| martins point | 3 | 4 | $143.68 | $169.83 | $169.83 | 1.2× |
| fidelis 5155 | 1 | 4 | $159.48 | $193.88 | $235.41 | 1.5× |
| excellus 2201 | 1 | 4 | $114.61 | $139.60 | $169.83 | 1.5× |
| independent health 5156 | 1 | 4 | $176.09 | $214.62 | $261.26 | 1.5× |
| [fidelis] | 1 | 3 | $204.54 | $204.54 | $204.54 | 1.0× |
| centers plan for healthy living | 2 | 3 | $152.50 | $159.12 | $211.00 | 1.4× |
| First Health | 2 | 3 | $494.70 | $554.40 | $687.60 | 1.4× |
| harvard pilgrim | 2 | 3 | $465.60 | $492.80 | $611.20 | 1.3× |
| st. regis | 2 | 3 | $143.68 | $146.50 | $146.50 | 1.0× |
| wellpath | 2 | 2 | $188.76 | $188.76 | $188.76 | 1.0× |
| affinity | 1 | 2 | $48.41 | $48.41 | $48.41 | 1.0× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $351.77 | $395.68 | $439.59 | 1.2× |
| Anthem BCBS | 1 | 2 | $135.25 | $135.25 | $135.25 | 1.0× |
| 1199seiu national benefit funds | 1 | 2 | $208.88 | $246.64 | $284.40 | 1.4× |
| valueoptions | 1 | 2 | $100.00 | $100.00 | $100.00 | 1.0× |
| emblemhealth | 1 | 2 | $144.87 | $211.67 | $278.46 | 1.9× |
| partners health plan | 1 | 2 | $211.00 | $211.00 | $211.00 | 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 | $3,729.00 | $3,729.00 | $155.98 | $756.06 | $3,356.10 |
| St. Josephs Medical Center | Yonkers | NY | 15 | $1,485.00 | $211.00 | $136.14 | $313.32 | $809.82 |
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 17 | $764.00 | $764.00 | $70.95 | $185.93 | $725.80 |
| Helen Hayes Hospital | West Haverstraw | NY | 5 | $790.00 | $790.00 | $48.41 | $180.25 | $592.50 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 15 | $582.00 | $582.00 | $102.00 | $169.83 | $523.80 |
| Nassau University Medical Center | East Meadow | NY | 13 | $685.00 | $479.50 | $48.89 | $159.12 | $474.00 |
| Alice Hyde Medical Center | Malone | NY | 12 | $558.00 | $558.00 | $102.00 | $143.68 | $546.84 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $560.00 | $280.00 | $35.33 | $136.23 | $439.59 |
| Westfield Memorial Hospital | Westfield | NY | 15 | $677.00 | $528.06 | $20.80 | $131.47 | $382.02 |
| 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.