Office visit, established patient, 5 min in New York
What New York hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
676
Neg. median
$25.38
Min
$3.15
Max
$1,751.4
Cash median
$125
Across 11 New York hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $3.15 to $1,751.4, with a median of $25.38. The interquartile range is $12 to $58. Cash-pay patients typically pay $125; gross charges median $221.6.
By payer in New York
Top 30 payers for Office visit, established patient, 5 min in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 9 | 75 | $24 |
| Aetna | 7 | 29 | $21.71 |
| Blue Cross Blue Shield | 6 | 87 | $21.28 |
| Humana | 5 | 7 | $8.21 |
| Emblem Health | 5 | 18 | $41.36 |
| magnacare | 5 | 7 | $146.4 |
| mvp | 5 | 29 | $28 |
| Cigna | 5 | 11 | $48 |
| fidelis care | 4 | 30 | $10.83 |
| VA Health | 3 | 6 | $8.4 |
| capital district physicians' health plan | 3 | 23 | $21.71 |
| martins point | 3 | 5 | $21.71 |
| Multiplan | 3 | 5 | $152.95 |
| Empire BCBS | 2 | 6 | $83.18 |
| st. regis | 2 | 3 | $128.8 |
| centers plan for healthy living | 2 | 3 | $28 |
| First Health | 2 | 4 | $104.33 |
| harvard pilgrim | 2 | 4 | $94.4 |
| Medicare | 2 | 21 | $8.64 |
| choicecare | 2 | 8 | $29.01 |
| Molina | 2 | 5 | $8.11 |
| Healthfirst | 2 | 5 | $311.32 |
| wellpath | 2 | 3 | $11.49 |
| oxford | 2 | 6 | $11.1 |
| jefferson health plans | 1 | 1 | $61.2 |
| life pittsburgh | 1 | 1 | $8.15 |
| martin's point | 1 | 1 | $54.6 |
| Medicaid | 1 | 26 | $12.08 |
| mvp 2900 | 1 | 6 | $21.35 |
| partners health plan | 1 | 2 | $28 |
Hospital comparison — Office visit, established patient, 5 min in New York
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Fredrick Ferris Thompson Hospital | Canandaigua | $14.36 | $72.36 | $200 |
| Alice Hyde Medical Center | Malone | $22.1 | $183 | $183 |
| Champlain Valley Physicians Hospital | Plattsburgh | $24.32 | $166 | $166 |
| Elizabethtown Community Hospital | Elizabethtown | $28.5 | $75 | $75 |
| Helen Hayes Hospital | West Haverstraw | $28.56 | $64 | $64 |
| Westfield Memorial Hospital | Westfield | $32 | $263.64 | $338 |
| St. Josephs Medical Center | Yonkers | $105.18 | $28 | $381 |
| Nassau University Medical Center | East Meadow | $152.5 | $243.7 | $348.14 |
| Memorial Hospital For Cancer And All | New York | $1,373.88 | $1,946 | $1,946 |
| Nyu Langone Hospitals | New York | — | $88.35 | $465 |
| Eastern Long Island Hospital | Greenport | — | $88.35 | $465 |