▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in NY
Hospitals
8
Min
$77.66
Median
$85.61
Max
$370.80
Range multiplier
4.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 5 | 49 | $28.49 | $87.81 | $257.74 | 9.0× |
| UnitedHealthcare | 6 | 32 | $57.76 | $126.40 | $502.61 | 8.7× |
| Aetna | 6 | 24 | $65.46 | $114.50 | $606.38 | 9.3× |
| fidelis care | 4 | 16 | $65.46 | $78.94 | $104.73 | 1.6× |
| Medicaid | 1 | 15 | $25.47 | $69.31 | $83.98 | 3.3× |
| mvp | 3 | 14 | $77.01 | $89.00 | $197.56 | 2.6× |
| Healthfirst | 1 | 12 | $74.35 | $92.94 | $269.53 | 3.6× |
| Medicare | 1 | 12 | $58.25 | $77.34 | $102.89 | 1.8× |
| capital district physicians' health plan | 3 | 12 | $56.22 | $77.01 | $125.36 | 2.2× |
| Emblem Health | 1 | 11 | $35.25 | $42.30 | $372.32 | 10.6× |
| Empire BCBS | 2 | 10 | $48.41 | $393.34 | $491.68 | 10.2× |
| community care behavorial health university of pittsburgh medical center | 1 | 8 | $65.00 | $66.88 | $68.75 | 1.1× |
| Cigna | 4 | 8 | $120.56 | $245.81 | $552.00 | 4.6× |
| [magnacare] | 1 | 6 | $370.80 | $430.20 | $496.00 | 1.3× |
| community care behavorial health healthchoices | 1 | 6 | $65.00 | $66.88 | $68.75 | 1.1× |
| Multiplan | 3 | 6 | $230.85 | $490.50 | $558.00 | 2.4× |
| Humana | 5 | 5 | $65.46 | $73.16 | $104.56 | 1.6× |
| beacon health | 1 | 5 | $56.54 | $116.82 | $137.44 | 2.4× |
| magnacare | 4 | 5 | $194.40 | $211.20 | $496.00 | 2.6× |
| univera | 1 | 5 | $67.30 | $79.18 | $95.01 | 1.4× |
| mvp 2900 | 1 | 4 | $87.34 | $116.17 | $157.63 | 1.8× |
| oxford | 2 | 4 | $122.80 | $270.95 | $502.61 | 4.1× |
| choicecare | 2 | 4 | $80.73 | $85.95 | $104.95 | 1.3× |
| amerihealth | 1 | 4 | $68.30 | $81.31 | $94.32 | 1.4× |
| [fidelis] | 1 | 3 | $92.94 | $92.94 | $92.94 | 1.0× |
| [urn] | 1 | 3 | $401.70 | $448.50 | $483.60 | 1.2× |
| fidelis | 1 | 3 | $90.15 | $90.15 | $90.15 | 1.0× |
| martins point | 3 | 3 | $77.01 | $77.01 | $77.01 | 1.0× |
| Molina | 1 | 3 | $35.25 | $35.25 | $78.44 | 2.2× |
| VA Health | 3 | 3 | $77.01 | $77.01 | $77.01 | 1.0× |
| harvard pilgrim | 2 | 2 | $194.40 | $202.80 | $211.20 | 1.1× |
| excellus 2201 | 1 | 2 | $65.46 | $71.24 | $77.01 | 1.2× |
| independent health 5156 | 1 | 2 | $100.56 | $109.44 | $118.31 | 1.2× |
| valueoptions | 1 | 2 | $55.00 | $57.50 | $60.00 | 1.1× |
| Anthem BCBS | 1 | 2 | $78.44 | $78.44 | $78.44 | 1.0× |
| affinity | 1 | 2 | $48.41 | $48.41 | $48.41 | 1.0× |
| st. regis | 2 | 2 | $194.40 | $194.40 | $194.40 | 1.0× |
| [oxford] | 1 | 2 | $423.56 | $460.60 | $497.63 | 1.2× |
| [metroplus] | 1 | 2 | $162.65 | $240.25 | $317.85 | 2.0× |
| First Health | 2 | 2 | $218.70 | $221.55 | $224.40 | 1.0× |
| geisinger | 1 | 2 | $94.32 | $94.32 | $94.32 | 1.0× |
| fidelis 5155 | 1 | 2 | $91.06 | $98.98 | $106.89 | 1.2× |
| wellpath | 2 | 2 | $107.81 | $107.81 | $107.81 | 1.0× |
| emblemhealth | 1 | 1 | $161.49 | $161.49 | $161.49 | 1.0× |
| martin's point | 1 | 1 | $250.00 | $250.00 | $250.00 | 1.0× |
| urn | 1 | 1 | $483.60 | $483.60 | $483.60 | 1.0× |
| elderplan 1316 | 1 | 1 | $71.91 | $71.91 | $71.91 | 1.0× |
| centers plan for healthy living | 1 | 1 | $92.28 | $92.28 | $92.28 | 1.0× |
| metroplus | 1 | 1 | $90.15 | $90.15 | $90.15 | 1.0× |
| 6 degrees health | 1 | 1 | $496.00 | $496.00 | $496.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Westfield Memorial Hospital | Westfield | NY | 10 | $231.00 | $50.82 | $65.00 | $87.81 | $250.00 |
| Helen Hayes Hospital | West Haverstraw | NY | 4 | $736.00 | $736.00 | $48.41 | $85.61 | $552.00 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 15 | $264.00 | $264.00 | $34.90 | $84.71 | $237.60 |
| Nassau University Medical Center | East Meadow | NY | 8 | $312.00 | $218.40 | $35.25 | $84.12 | $245.46 |
| Alice Hyde Medical Center | Malone | NY | 12 | $263.00 | $263.00 | $34.90 | $83.07 | $257.74 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $197.00 | $117.47 | $25.47 | $77.66 | $203.44 |
| Memorial Hospital For Cancer And All | New York | NY | 18 | $620.00 | $620.00 | $35.25 | $370.80 | $606.38 |
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 16 | $243.00 | $243.00 | $34.90 | $107.81 | $230.85 |
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.