Initial hospital care, low complexity in New York
What New York hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.
Hospitals
8
Rate rows
374
Neg. median
$90.15
Min
$25.47
Max
$606.38
Cash median
$263.5
Across 8 New York hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $25.47 to $606.38, with a median of $90.15. The interquartile range is $77.01 to $186.11. Cash-pay patients typically pay $263.5; gross charges median $288.
By payer in New York
Top 30 payers for Initial hospital care, low complexity in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 6 | 24 | $114.5 |
| UnitedHealthcare | 6 | 32 | $126.4 |
| Blue Cross Blue Shield | 5 | 49 | $87.81 |
| Humana | 5 | 5 | $73.16 |
| magnacare | 4 | 5 | $211.2 |
| Cigna | 4 | 8 | $245.81 |
| fidelis care | 4 | 16 | $78.94 |
| Multiplan | 3 | 6 | $490.5 |
| mvp | 3 | 14 | $89 |
| martins point | 3 | 3 | $77.01 |
| capital district physicians' health plan | 3 | 12 | $77.01 |
| VA Health | 3 | 3 | $77.01 |
| wellpath | 2 | 2 | $107.81 |
| First Health | 2 | 2 | $221.55 |
| choicecare | 2 | 4 | $85.95 |
| oxford | 2 | 4 | $270.95 |
| harvard pilgrim | 2 | 2 | $202.8 |
| st. regis | 2 | 2 | $194.4 |
| Empire BCBS | 2 | 10 | $393.34 |
| fidelis 5155 | 1 | 2 | $98.98 |
| geisinger | 1 | 2 | $94.32 |
| Healthfirst | 1 | 12 | $92.94 |
| [fidelis] | 1 | 3 | $92.94 |
| martin's point | 1 | 1 | $250 |
| Medicaid | 1 | 15 | $69.31 |
| Medicare | 1 | 12 | $77.34 |
| metroplus | 1 | 1 | $90.15 |
| Molina | 1 | 3 | $35.25 |
| mvp 2900 | 1 | 4 | $116.17 |
| pennsylvania health and wellness | 1 | 1 | $85.87 |
Hospital comparison — Initial hospital care, low complexity 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 | $77.66 | $117.47 | $197 |
| Alice Hyde Medical Center | Malone | $83.07 | $263 | $263 |
| Nassau University Medical Center | East Meadow | $84.12 | $218.4 | $312 |
| Elizabethtown Community Hospital | Elizabethtown | $84.71 | $264 | $264 |
| Helen Hayes Hospital | West Haverstraw | $85.61 | $736 | $736 |
| Westfield Memorial Hospital | Westfield | $87.81 | $50.82 | $231 |
| Champlain Valley Physicians Hospital | Plattsburgh | $107.81 | $243 | $243 |
| Memorial Hospital For Cancer And All | New York | $370.8 | $575 | $575 |