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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in NY

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Hospitals
10
Min
$248.99
Median
$533.6
Max
$1,174
Range multiplier
4.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield697$124.83$508.63$4,889.0939.2×
UnitedHealthcare858$149.68$397.33$6,379.6242.6×
Aetna838$169.63$882.99$6,379.6237.6×
capital district physicians' health plan324$187.14$256.36$2,876.5115.4×
Emblem Health424$84.68$1,017.63$6,315.8274.6×
mvp423$169.63$459.88$2,904.2417.1×
fidelis care422$169.63$224.52$1,066.916.3×
Medicare222$169.63$232.29$1,134.236.7×
Medicaid122$71.98$200.73$452.136.3×
Healthfirst320$232.15$522.33$4,907.421.1×
Empire BCBS214$278.29$1,078.76$2,422.058.7×
Humana610$169.63$588.88$1,056.946.2×
magnacare69$533.6$1,320$6,543.212.3×
Cigna49$263.7$388.4$2,410.759.1×
Multiplan39$633.65$1,485$7,361.111.6×
choicecare28$219.53$361.94$1,887.28.6×
[magnacare]17$1,044$1,320$6,172.85.9×
martins point36$256.35$316.82$1,102.624.3×
mvp 290016$191.05$260.3$2,260.2111.8×
oxford26$773$1,244.23$6,379.628.3×
amerihealth16$159.21$219.86$1,046.976.6×
fidelis26$232.15$576.57$2,422.0510.4×
Molina36$84.68$639.11$2,422.0528.6×
VA Health36$199.57$288.43$1,029.525.2×
univera15$173.35$203.94$244.731.4×
fidelis 515514$234.53$288.89$355.061.5×
wellpath24$279.4$812.02$1,544.285.5×
[metroplus]14$541.12$3,036.45$6,018.4811.1×
excellus 220114$169.63$208.74$256.361.5×
First Health24$600.3$1,605.23$3,284.15.5×
harvard pilgrim24$533.6$1,510.8$2,919.25.5×
st. regis24$377.28$533.6$1,029.522.7×
independent health 515614$260.49$320.78$394.241.5×
centers plan for healthy living23$237.34$921$997.114.2×
[urn]13$1,131$1,287$5,478.364.8×
[fidelis]13$309.21$309.21$309.211.0×
Anthem BCBS12$201.74$201.74$201.741.0×
american health plans12$219.52$608.32$997.114.5×
6 degrees health12$1,320$3,849.81$6,379.624.8×
geisinger12$219.86$219.86$219.861.0×
life pittsburgh12$199.56$598.34$997.115.0×
martin's point12$683$840.06$997.111.5×
[oxford]12$1,143.52$1,243.53$1,343.541.2×
metroplus12$232.15$2,774.25$5,316.3522.9×
partners health plan12$921$921$9211.0×
urn12$1,287$3,547.05$5,807.094.5×
vns12$921$998.74$1,076.471.2×
capital district physicians health plan (cdphp) 514912$700.62$799.55$898.481.3×
emblemhealth11$947.26$947.26$947.261.0×
WellCare11$921$921$9211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY13$2,259.51$1,581.66$84.68$945$2,259.51
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$3,649$3,649$169.63$533.6$4,889.09
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$2,359$2,359$169.63$506.49$2,172.64
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY14$3,792$2,957.76$159.21$402.39$1,914.45
ALICE HYDE MEDICAL CENTERMALONENY12$1,890$1,890$169.63$365.14$2,726.6
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$2,742$1,371$71.98$248.99$2,857.33
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$8,179$8,179$84.68$1,174$7,361.1
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$8,050$921$568$1,076.47$2,422.05
NYU LANGONE HOSPITALSNEW YORKNY0$10,713$2,035.47
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$10,713$2,035.47

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.