▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in NY
Hospitals
8
Min
$157.41
Median
$183.47
Max
$754.44
Range multiplier
4.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 5 | 49 | $65.86 | $183.47 | $516.46 | 7.8× |
| UnitedHealthcare | 6 | 32 | $121.88 | $250.61 | $1,001.55 | 8.2× |
| Aetna | 6 | 24 | $138.13 | $240.67 | $1,189.60 | 8.6× |
| fidelis care | 4 | 16 | $138.13 | $166.58 | $221.01 | 1.6× |
| Medicaid | 1 | 15 | $51.54 | $141.47 | $174.76 | 3.4× |
| mvp | 3 | 14 | $138.13 | $162.51 | $393.80 | 2.9× |
| capital district physicians' health plan | 3 | 12 | $118.63 | $162.51 | $264.54 | 2.2× |
| Medicare | 1 | 12 | $123.15 | $163.36 | $205.09 | 1.7× |
| Healthfirst | 1 | 12 | $153.58 | $191.97 | $556.71 | 3.6× |
| Emblem Health | 1 | 11 | $71.33 | $85.59 | $776.44 | 10.9× |
| Empire BCBS | 2 | 10 | $70.62 | $771.67 | $964.59 | 13.7× |
| Cigna | 4 | 8 | $240.30 | $498.16 | $1,074.00 | 4.5× |
| community care behavorial health university of pittsburgh medical center | 1 | 8 | $138.00 | $149.44 | $160.88 | 1.2× |
| community care behavorial health healthchoices | 1 | 6 | $138.00 | $149.44 | $160.88 | 1.2× |
| [magnacare] | 1 | 6 | $734.40 | $843.60 | $968.00 | 1.3× |
| Multiplan | 3 | 6 | $465.50 | $967.50 | $1,089.00 | 2.3× |
| magnacare | 4 | 5 | $392.00 | $444.80 | $968.00 | 2.5× |
| univera | 1 | 5 | $141.47 | $166.44 | $199.72 | 1.4× |
| Humana | 5 | 5 | $138.13 | $154.38 | $207.83 | 1.5× |
| beacon health | 1 | 5 | $74.27 | $235.03 | $276.51 | 3.7× |
| amerihealth | 1 | 4 | $142.72 | $169.90 | $197.08 | 1.4× |
| choicecare | 2 | 4 | $169.34 | $180.83 | $220.14 | 1.3× |
| oxford | 2 | 4 | $244.19 | $539.66 | $1,001.55 | 4.1× |
| mvp 2900 | 1 | 4 | $174.10 | $239.40 | $333.27 | 1.9× |
| fidelis | 1 | 3 | $188.00 | $188.00 | $188.00 | 1.0× |
| [fidelis] | 1 | 3 | $191.97 | $191.97 | $191.97 | 1.0× |
| VA Health | 3 | 3 | $162.51 | $162.51 | $162.51 | 1.0× |
| Molina | 1 | 3 | $71.33 | $71.33 | $163.06 | 2.3× |
| martins point | 3 | 3 | $162.51 | $162.51 | $162.51 | 1.0× |
| [urn] | 1 | 3 | $795.60 | $881.40 | $943.80 | 1.2× |
| fidelis 5155 | 1 | 2 | $191.41 | $208.05 | $224.69 | 1.2× |
| [metroplus] | 1 | 2 | $335.95 | $496.24 | $656.54 | 2.0× |
| [oxford] | 1 | 2 | $844.02 | $917.83 | $991.63 | 1.2× |
| affinity | 1 | 2 | $70.62 | $70.62 | $70.62 | 1.0× |
| Anthem BCBS | 1 | 2 | $163.06 | $163.06 | $163.06 | 1.0× |
| excellus 2201 | 1 | 2 | $138.13 | $150.32 | $162.51 | 1.2× |
| First Health | 2 | 2 | $441.00 | $456.80 | $472.60 | 1.1× |
| geisinger | 1 | 2 | $197.08 | $197.08 | $197.08 | 1.0× |
| harvard pilgrim | 2 | 2 | $392.00 | $418.40 | $444.80 | 1.1× |
| independent health 5156 | 1 | 2 | $212.19 | $230.91 | $249.63 | 1.2× |
| st. regis | 2 | 2 | $392.00 | $392.00 | $392.00 | 1.0× |
| wellpath | 2 | 2 | $227.51 | $227.51 | $227.51 | 1.0× |
| emblemhealth | 1 | 1 | $335.70 | $335.70 | $335.70 | 1.0× |
| elderplan 1316 | 1 | 1 | $152.04 | $152.04 | $152.04 | 1.0× |
| pennsylvania health and wellness | 1 | 1 | $179.41 | $179.41 | $179.41 | 1.0× |
| 6 degrees health | 1 | 1 | $968.00 | $968.00 | $968.00 | 1.0× |
| centers plan for healthy living | 1 | 1 | $191.83 | $191.83 | $191.83 | 1.0× |
| capital district physicians health plan (cdphp) 5149 | 1 | 1 | $426.74 | $426.74 | $426.74 | 1.0× |
| urn | 1 | 1 | $943.80 | $943.80 | $943.80 | 1.0× |
| metroplus | 1 | 1 | $188.00 | $188.00 | $188.00 | 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 | $1,210.00 | $1,210.00 | $71.33 | $754.44 | $1,189.60 |
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 16 | $490.00 | $490.00 | $70.62 | $227.51 | $465.50 |
| Nassau University Medical Center | East Meadow | NY | 7 | $879.00 | $615.30 | $71.33 | $191.83 | $510.27 |
| Westfield Memorial Hospital | Westfield | NY | 10 | $486.00 | $106.92 | $138.00 | $183.47 | $462.00 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 15 | $556.00 | $556.00 | $70.62 | $174.76 | $500.40 |
| Alice Hyde Medical Center | Malone | NY | 12 | $527.00 | $527.00 | $70.62 | $169.99 | $516.46 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $395.00 | $235.54 | $51.54 | $164.20 | $426.74 |
| Helen Hayes Hospital | West Haverstraw | NY | 4 | $1,432.00 | $1,432.00 | $70.62 | $157.41 | $1,074.00 |
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.