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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in NY

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Hospitals
8
Min
$106.89
Median
$138.50
Max
$542.10
Range multiplier
5.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield549$47.26$138.50$351.827.4×
UnitedHealthcare632$91.39$170.19$681.337.5×
Aetna624$103.57$181.22$814.317.9×
fidelis care416$103.57$124.90$165.721.6×
Medicaid115$35.08$96.70$131.593.8×
mvp314$114.00$121.85$267.642.3×
Healthfirst112$116.49$145.61$422.273.6×
Medicare112$91.94$120.17$139.391.5×
capital district physicians' health plan312$88.95$121.85$198.352.2×
Emblem Health111$48.55$58.26$583.6912.0×
Empire BCBS210$48.07$528.22$660.2813.7×
community care behavorial health university of pittsburgh medical center18$106.00$110.30$114.591.1×
Cigna48$163.31$349.30$738.004.5×
[magnacare]16$500.40$577.80$664.001.3×
community care behavorial health healthchoices16$106.00$110.30$114.591.1×
Multiplan36$313.50$661.50$747.002.4×
Humana55$103.57$115.76$141.561.4×
beacon health15$135.24$159.63$186.191.4×
magnacare45$264.00$334.40$664.002.5×
univera15$106.52$125.32$150.391.4×
mvp 290014$118.32$171.87$248.792.1×
oxford24$165.71$366.91$681.334.1×
choicecare24$126.87$135.53$164.931.3×
amerihealth14$107.04$127.43$147.811.4×
[fidelis]13$145.61$145.61$145.611.0×
[urn]13$542.10$604.50$647.401.2×
fidelis13$141.33$141.33$141.331.0×
martins point33$121.84$121.84$121.841.0×
Molina13$48.55$48.55$122.662.5×
VA Health33$121.85$121.85$121.851.0×
harvard pilgrim22$264.00$299.20$334.401.3×
excellus 220112$103.57$112.71$121.851.2×
independent health 515612$159.10$173.14$187.181.2×
valueoptions12$104.00$124.00$144.001.4×
Anthem BCBS12$122.66$122.66$122.661.0×
affinity12$48.07$48.07$48.071.0×
st. regis22$264.00$264.00$264.001.0×
[oxford]12$574.15$624.37$674.581.2×
[metroplus]12$254.82$376.40$497.992.0×
First Health22$297.00$326.15$355.301.2×
geisinger12$147.81$147.81$147.811.0×
fidelis 515512$144.12$156.65$169.181.2×
wellpath22$170.59$170.59$170.591.0×
emblemhealth11$252.54$252.54$252.541.0×
martin's point11$315.00$315.00$315.001.0×
urn11$647.40$647.40$647.401.0×
elderplan 131611$113.50$113.50$113.501.0×
centers plan for healthy living11$144.31$144.31$144.311.0×
metroplus11$141.33$141.33$141.331.0×
6 degrees health11$664.00$664.00$664.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Memorial Hospital For Cancer And AllNew YorkNY18$830.00$830.00$48.55$542.10$814.31
Champlain Valley Physicians HospitalPlattsburghNY16$330.00$330.00$48.07$159.63$313.50
Nassau University Medical CenterEast MeadowNY8$605.00$423.50$48.55$141.56$383.86
Westfield Memorial HospitalWestfieldNY10$364.00$80.08$106.00$138.50$315.00
Elizabethtown Community HospitalElizabethtownNY15$418.00$418.00$48.07$131.59$376.20
Alice Hyde Medical CenterMaloneNY12$359.00$359.00$48.07$127.41$351.82
Fredrick Ferris Thompson HospitalCanandaiguaNY13$266.00$158.62$35.08$121.85$319.71
Helen Hayes HospitalWest HaverstrawNY4$984.00$984.00$48.07$106.89$738.00

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.