Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 99221 · BRONX, NY

99221 — Pr Hospital IP/Obs Care Initial Straightforward Or Low Level Per Day

What each payer pays Calvary Hospital Inc (CCN 332006) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$92 All-payer median here
17 payer/plan-name variants
← This hospital National rates for 99221 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
EmblemHealth $136 47.4% 6
UMR (UnitedHealthcare TPA) $102 10.0% 2
AMIDA CARE $92 0.0% 4
Centene $92 0.0% 8
ACCESS INTEGRA $92 0.0% 2
Aetna $92 0.0% 2
Healthfirst $92 0.0% 6
MAGNACARE $92 0.0% 6
VNS $92 0.0% 4
WellCare Health Plans $92 0.0% 2
Anthem (Elevance Health) $88 -5.0% 6
Hamaspik $85 -7.5% 4
UnitedHealthcare $79 -14.1% 6
Molina Healthcare $78 -15.0% 4
MVP Health Care $65 -30.0% 2
PHP $64 -30.9% 4
World Trade Center (WTC) Health Program $35 -61.8% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.