Office visit, established patient, 40-54 min in New York
What New York hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
769
Neg. median
$200.31
Min
$20.8
Max
$3,356.1
Cash median
$331.8
Across 11 New York hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $20.8 to $3,356.1, with a median of $200.31. The interquartile range is $138.68 to $466.7. Cash-pay patients typically pay $331.8; gross charges median $685.
By payer in New York
Top 30 payers for Office visit, established patient, 40-54 min in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 9 | 70 | $190 |
| Aetna | 7 | 44 | $278.62 |
| magnacare | 6 | 8 | $456 |
| Blue Cross Blue Shield | 6 | 72 | $154.23 |
| Cigna | 5 | 14 | $373.74 |
| Humana | 5 | 7 | $134.83 |
| fidelis care | 4 | 19 | $141.57 |
| mvp | 4 | 28 | $220.24 |
| oxford | 3 | 6 | $403.57 |
| Empire BCBS | 3 | 32 | $571.45 |
| martins point | 3 | 4 | $169.83 |
| VA Health | 3 | 5 | $134.83 |
| Emblem Health | 3 | 45 | $492.8 |
| capital district physicians' health plan | 3 | 19 | $169.83 |
| Multiplan | 3 | 10 | $769.5 |
| fidelis | 2 | 14 | $299.35 |
| wellpath | 2 | 2 | $188.76 |
| st. regis | 2 | 3 | $146.5 |
| Medicare | 2 | 21 | $134.48 |
| choicecare | 2 | 6 | $181.42 |
| Molina | 2 | 13 | $313.32 |
| centers plan for healthy living | 2 | 3 | $159.12 |
| harvard pilgrim | 2 | 3 | $492.8 |
| First Health | 2 | 3 | $554.4 |
| Healthfirst | 2 | 29 | $350.96 |
| fidelis 5155 | 1 | 4 | $193.88 |
| excellus 2201 | 1 | 4 | $139.6 |
| beacon health | 1 | 5 | $127.53 |
| 1199seiu national benefit funds | 1 | 2 | $246.64 |
| emblemhealth | 1 | 2 | $211.67 |
Hospital comparison — Office visit, established patient, 40-54 min in New York
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Westfield Memorial Hospital | Westfield | $131.47 | $528.06 | $677 |
| Fredrick Ferris Thompson Hospital | Canandaigua | $136.23 | $142.5 | $260 |
| Alice Hyde Medical Center | Malone | $143.68 | $503.5 | $503.5 |
| Nassau University Medical Center | East Meadow | $159.12 | $331.8 | $474 |
| Elizabethtown Community Hospital | Elizabethtown | $169.83 | $582 | $582 |
| Helen Hayes Hospital | West Haverstraw | $180.25 | $790 | $790 |
| Champlain Valley Physicians Hospital | Plattsburgh | $185.93 | $690 | $690 |
| St. Josephs Medical Center | Yonkers | $313.32 | $211 | $1,356.5 |
| Memorial Hospital For Cancer And All | New York | $756.06 | $895 | $895 |
| Nyu Langone Hospitals | New York | — | $222.53 | $1,171.19 |
| Eastern Long Island Hospital | Greenport | — | $260.39 | $1,370.47 |