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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in NY

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Hospitals
10
Min
$170.78
Median
$350.4
Max
$725.52
Range multiplier
4.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield694$63.46$347.34$3,557.456.1×
UnitedHealthcare855$80$333.04$2,544.9831.8×
Aetna836$139.25$710.06$1,53911.1×
mvp425$139.25$337.11$1,491.1210.7×
capital district physicians' health plan324$119.59$163.82$1,469.9312.3×
fidelis care422$139.25$184.3$776.35.6×
Emblem Health418$67.19$700.91$2,134.431.8×
Healthfirst316$156.18$339.45$1,303.498.3×
Empire BCBS214$175.71$678.18$1,303.497.4×
Medicare213$139.25$175.57$817.735.9×
Medicaid113$48.54$142.82$176.423.6×
magnacare610$350.4$943.6$2,134.46.1×
Humana610$139.25$481.63$769.055.5×
choicecare28$171.6$301.94$1,527.28.9×
Cigna48$205.7$562.37$1,738.058.4×
amerihealth18$80$173.43$761.799.5×
Multiplan37$416.1$913.5$2,534.66.1×
fidelis26$190.63$384.98$1,303.496.8×
martins point36$163.82$272.31$802.294.9×
Molina36$67.19$372.56$1,303.4919.4×
VA Health36$163.82$272.31$749.14.6×
univera15$142.82$168.02$201.631.4×
First Health24$394.2$1,308.15$2,401.26.1×
[magnacare]14$630$715.4$8121.3×
community care behavorial health university of pittsburgh medical center14$137.5$137.5$137.51.0×
geisinger14$201.17$211.58$221.981.1×
harvard pilgrim24$350.4$1,231.2$2,134.46.1×
mvp 290014$149.03$757.46$1,629.5210.9×
oxford24$658$739.33$846.251.3×
st. regis24$350.4$365.6$749.12.1×
wellpath24$229.35$658.74$1,123.654.9×
community care behavorial health healthchoices13$137.5$137.5$137.51.0×
[fidelis]13$195.23$195.23$195.231.0×
centers plan for healthy living23$195.04$658$725.523.7×
pennsylvania health and wellness12$183.14$195.63$208.111.1×
independent health 515612$213.71$232.57$251.421.2×
[urn]12$682.5$737.1$791.71.2×
[oxford]12$713.16$775.52$837.871.2×
excellus 220112$139.25$151.54$163.821.2×
emblemhealth12$689.24$1,101.62$1,5142.2×
fidelis 515512$193.22$210.03$226.831.2×
[metroplus]12$341.65$504.67$667.692.0×
beacon health12$665$665$6651.0×
Anthem BCBS12$165.78$165.78$165.781.0×
vns12$579.33$618.67$6581.1×
partners health plan12$658$658$6581.0×
urn11$791.7$791.7$791.71.0×
jefferson health plans11$212.27$212.27$212.271.0×
life pittsburgh11$725.52$725.52$725.521.0×
capital district physicians health plan (cdphp) 514911$432.43$432.43$432.431.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY14$2,286.68$1,600.68$67.19$725.52$2,286.68
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$1,015$1,015$67.19$667.65$1,029.25
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$5,785$658$568$658$1,435
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY17$2,668$2,668$122.87$350.4$3,557.4
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$1,909$1,909$119.59$314.2$1,758.19
ALICE HYDE MEDICAL CENTERMALONENY12$1,190$1,190$119.59$267.08$2,544.98
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY17$2,759$2,152.02$80$221.98$1,392.99
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$2,638$1,319$48.54$170.78$2,060.01
NYU LANGONE HOSPITALSNEW YORKNY0$5,904.1$1,121.78
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$5,904.1$1,121.78

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.