Initial hospital care, high complexity in New York
What New York hospitals charge for initial hospital care, high complexity (CPT 99223). Rates sourced from federally-mandated machine-readable files.
Hospitals
8
Rate rows
372
Neg. median
$187.12
Min
$51.54
Max
$1,189.6
Cash median
$585.65
Across 8 New York hospitals, the negotiated rate for Initial hospital care, high complexity ranges from $51.54 to $1,189.6, with a median of $187.12. The interquartile range is $160.88 to $381.66. Cash-pay patients typically pay $585.65; gross charges median $717.5.
By payer in New York
Top 30 payers for Initial hospital care, high complexity in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 6 | 24 | $240.67 |
| UnitedHealthcare | 6 | 32 | $250.61 |
| Humana | 5 | 5 | $154.38 |
| Blue Cross Blue Shield | 5 | 49 | $183.47 |
| Cigna | 4 | 8 | $498.16 |
| magnacare | 4 | 5 | $444.8 |
| fidelis care | 4 | 16 | $166.58 |
| martins point | 3 | 3 | $162.51 |
| VA Health | 3 | 3 | $162.51 |
| Multiplan | 3 | 6 | $967.5 |
| mvp | 3 | 14 | $162.51 |
| capital district physicians' health plan | 3 | 12 | $162.51 |
| wellpath | 2 | 2 | $227.51 |
| First Health | 2 | 2 | $456.8 |
| choicecare | 2 | 4 | $180.83 |
| oxford | 2 | 4 | $539.66 |
| harvard pilgrim | 2 | 2 | $418.4 |
| st. regis | 2 | 2 | $392 |
| Empire BCBS | 2 | 10 | $771.67 |
| fidelis 5155 | 1 | 2 | $208.05 |
| geisinger | 1 | 2 | $197.08 |
| Healthfirst | 1 | 12 | $191.97 |
| independent health 5156 | 1 | 2 | $230.91 |
| martin's point | 1 | 1 | $462 |
| Medicaid | 1 | 15 | $141.47 |
| Medicare | 1 | 12 | $163.36 |
| metroplus | 1 | 1 | $188 |
| Molina | 1 | 3 | $71.33 |
| mvp 2900 | 1 | 4 | $239.4 |
| [fidelis] | 1 | 3 | $191.97 |
Hospital comparison — Initial hospital care, high complexity in New York
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Helen Hayes Hospital | West Haverstraw | $157.41 | $1,432 | $1,432 |
| Fredrick Ferris Thompson Hospital | Canandaigua | $164.2 | $235.54 | $395 |
| Alice Hyde Medical Center | Malone | $169.99 | $527 | $527 |
| Elizabethtown Community Hospital | Elizabethtown | $174.76 | $556 | $556 |
| Westfield Memorial Hospital | Westfield | $183.47 | $106.92 | $486 |
| Nassau University Medical Center | East Meadow | $191.83 | $615.3 | $879 |
| Champlain Valley Physicians Hospital | Plattsburgh | $227.51 | $490 | $490 |
| Memorial Hospital For Cancer And All | New York | $754.44 | $1,130 | $1,130 |