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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$1,493.5214.0×
UnitedHealthcare852$7.98$30.75$2,544.98318.9×
Aetna834$9.04$95.06$1,070118.4×
mvp423$9.04$43.94$1,060117.3×
fidelis care421$9.04$11.7$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$86975.1×
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$18.3$65.32$373.3820.4×
magnacare69$60.8$118.4$1,24120.4×
choicecare28$11.41$60.38$298.526.2×
Multiplan37$68.4$121.5$248.43.6×
[magnacare]16$82.8$94$1081.3×
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$7739.0×
mvp 290014$19.42$106.27$230.7311.9×
First Health23$64.6$133.2$234.63.6×
[urn]13$89.7$93.6$105.31.2×
centers plan for healthy living23$12.8$90$104.198.1×
[fidelis]13$12.85$12.85$12.851.0×
harvard pilgrim23$60.8$118.4$220.83.6×
st. regis23$118.4$118.4$127.361.1×
wellpath23$14.9$14.9$157.3210.6×
partners health plan12$90$90$901.0×
amerihealth12$109.4$109.4$109.41.0×
emblemhealth12$98.99$211.5$3243.3×
[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$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$105.3$105.3$105.31.0×
valueoptions11$144$144$1441.0×
1199seiu national benefit funds11$792$792$7921.0×
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$108$1081.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY12$396$308.88$9.31$90.94$200.05
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$135$135$8.04$65.32$134.3
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$276$276$7.77$37.93$254.2
ALICE HYDE MEDICAL CENTERMALONENY12$398$398$7.77$21.55$2,544.98
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$1,293$90$90$205.09$1,014.6
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$389$194$5.81$16.53$291.69
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY15$148$148$7.98$15.27$140.6
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY14$1,493.5$1,045.45$8.04$104.19$1,641
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.