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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$131.47
Median
$169.83
Max
$756.06
Range multiplier
5.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield672$60.64$154.23$546.849.0×
UnitedHealthcare970$20.8$190$2,908.62139.8×
Emblem Health345$158.93$492.8$2,908.6218.3×
Aetna744$89.06$278.62$2,908.6232.7×
Empire BCBS332$48.41$571.45$2,423.8550.1×
Healthfirst229$155.98$350.96$2,237.414.3×
mvp428$102$220.24$747.227.3×
Medicaid126$35.33$124.85$183.15.2×
Medicare221$96.18$134.48$173.231.8×
carelon121$62.44$64.31$167.482.7×
fidelis care419$114.61$141.57$183.371.6×
capital district physicians' health plan319$123.98$169.83$485.593.9×
Cigna514$87.04$373.74$2,867.632.9×
fidelis214$155.98$299.35$747.224.8×
Molina213$48.89$313.32$747.2215.3×
[magnacare]112$525.6$1,386.96$2,983.25.7×
community care behavorial health university of pittsburgh medical center112$110$209$3663.3×
Multiplan310$523.8$769.5$3,356.16.4×
community care behavorial health healthchoices19$110$209$3663.3×
magnacare68$220$456$7163.3×
[metroplus]18$357.95$2,419.95$2,908.628.1×
[oxford]18$602.48$2,457.18$2,908.624.8×
Humana57$114.61$134.83$152.51.3×
choicecare26$143.68$181.42$336.752.3×
univera16$121.35$133.14$161.711.3×
amerihealth16$81.95$113.17$128.781.6×
vns16$200.31$257.43$332.11.7×
[urn]16$569.4$1,491.09$2,647.594.6×
mvp 290016$96.05$135.76$267.972.8×
oxford36$180.25$403.57$809.824.5×
beacon health15$70.95$127.53$150.042.1×
VA Health35$134.83$134.83$143.681.1×
geisinger14$113.17$119.03$124.881.1×
martins point34$143.68$169.83$169.831.2×
fidelis 515514$159.48$193.88$235.411.5×
excellus 220114$114.61$139.6$169.831.5×
independent health 515614$176.09$214.62$261.261.5×
[fidelis]13$204.54$204.54$204.541.0×
centers plan for healthy living23$152.5$159.12$2111.4×
First Health23$494.7$554.4$687.61.4×
harvard pilgrim23$465.6$492.8$611.21.3×
st. regis23$143.68$146.5$146.51.0×
wellpath22$188.76$188.76$188.761.0×
affinity12$48.41$48.41$48.411.0×
capital district physicians health plan (cdphp) 514912$351.77$395.68$439.591.2×
Anthem BCBS12$135.25$135.25$135.251.0×
1199seiu national benefit funds12$208.88$246.64$284.41.4×
valueoptions12$100$100$1001.0×
emblemhealth12$144.87$211.67$278.461.9×
partners health plan12$211$211$2111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$3,729$3,729$155.98$756.06$3,356.1
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$1,485$211$136.14$313.32$809.82
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY17$764$764$70.95$185.93$725.8
HELEN HAYES HOSPITALWEST HAVERSTRAWNY5$790$790$48.41$180.25$592.5
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY15$582$582$102$169.83$523.8
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY13$685$479.5$48.89$159.12$474
ALICE HYDE MEDICAL CENTERMALONENY12$558$558$102$143.68$546.84
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$560$280$35.33$136.23$439.59
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$677$528.06$20.8$131.47$382.02
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.