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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in NY

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Hospitals
10
Min
$15.27
Median
$65.32
Max
$205.09
Range multiplier
13.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield683$6.98$40.01$1,493.50214.0×
UnitedHealthcare852$7.98$30.75$2,544.98318.9×
Aetna834$9.04$95.06$1,070.00118.4×
mvp423$9.04$43.94$1,060.00117.3×
fidelis care421$9.04$11.70$127.3614.1×
capital district physicians' health plan320$7.77$10.64$373.8448.1×
Emblem Health317$8.04$50.04$461.4557.4×
Healthfirst316$10.28$28.08$461.4544.9×
Empire BCBS214$11.57$91.65$869.0075.1×
Medicare213$9.04$22.88$115.7912.8×
Medicaid113$5.81$10.95$18.673.2×
Humana69$9.04$83.65$127.3614.1×
Cigna49$18.30$65.32$373.3820.4×
magnacare69$60.80$118.40$1,241.0020.4×
choicecare28$11.41$60.38$298.5026.2×
Multiplan37$68.40$121.50$248.403.6×
[magnacare]16$82.80$94.00$108.001.3×
fidelis26$12.48$51.24$461.4537.0×
univera16$9.31$10.95$17.381.9×
Molina36$8.04$62.23$461.4557.4×
martins point35$10.64$10.64$127.3612.0×
VA Health35$10.64$10.64$127.3612.0×
oxford24$85.76$96.44$773.009.0×
mvp 290014$19.42$106.27$230.7311.9×
First Health23$64.60$133.20$234.603.6×
[urn]13$89.70$93.60$105.301.2×
centers plan for healthy living23$12.80$90.00$104.198.1×
[fidelis]13$12.85$12.85$12.851.0×
harvard pilgrim23$60.80$118.40$220.803.6×
st. regis23$118.40$118.40$127.361.1×
wellpath23$14.90$14.90$157.3210.6×
partners health plan12$90.00$90.00$90.001.0×
amerihealth12$109.40$109.40$109.401.0×
emblemhealth12$98.99$211.50$324.003.3×
[oxford]12$86.67$94.26$101.851.2×
excellus 220112$9.04$9.84$10.641.2×
[metroplus]12$22.49$33.22$43.952.0×
Anthem BCBS12$10.88$10.88$10.881.0×
vns12$90.00$147.55$205.092.3×
fidelis 515512$12.59$13.69$14.781.2×
independent health 515612$13.88$15.11$16.331.2×
urn11$105.30$105.30$105.301.0×
valueoptions11$144.00$144.00$144.001.0×
1199seiu national benefit funds11$792.00$792.00$792.001.0×
martin's point11$104.19$104.19$104.191.0×
elderplan 131611$105.26$105.26$105.261.0×
capital district physicians health plan (cdphp) 514911$28.75$28.75$28.751.0×
metroplus11$12.48$12.48$12.481.0×
american health plans11$104.19$104.19$104.191.0×
6 degrees health11$108.00$108.00$108.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Westfield Memorial HospitalWestfieldNY12$396.00$308.88$9.31$90.94$200.05
Memorial Hospital For Cancer And AllNew YorkNY18$135.00$135.00$8.04$65.32$134.30
Elizabethtown Community HospitalElizabethtownNY16$276.00$276.00$7.77$37.93$254.20
Alice Hyde Medical CenterMaloneNY12$398.00$398.00$7.77$21.55$2,544.98
St. Josephs Medical CenterYonkersNY15$1,293.00$90.00$90.00$205.09$1,014.60
Fredrick Ferris Thompson HospitalCanandaiguaNY13$389.00$194.00$5.81$16.53$291.69
Champlain Valley Physicians HospitalPlattsburghNY15$148.00$148.00$7.98$15.27$140.60
Nassau University Medical CenterEast MeadowNY14$1,493.50$1,045.45$8.04$104.19$1,641.00
Nyu Langone HospitalsNew YorkNY0$3,390.83$644.26
Eastern Long Island HospitalGreenportNY0$3,390.83$644.26

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.