Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in New York
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 134 New York hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $140
📉 Low $10.56
📈 High $3,338
🏥 134 hospitals
🏛️ 105 with insurance contracts
🇺🇸 Medicare $11.97
Hospital comparison — New York
Sorted by cash price (lowest first). Showing top 60 of 134 hospitals.
Billed more than $140 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Centene | Cigna | Humana | BCBS | Medicare | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| AHN WESTFIELD MEMORIAL HOSPITAL WESTFIELD |
$10.56 | $108 | $25.60 | — | $18.30 | $110 | — | $107 | — |
| JONES MEMORIAL HOSPITAL WELLSVILLE |
$10.73 | $9.04 | $10.29 | $14.78 | $26.81 | $113 | $6.98 | $9.04 | — |
| COBLESKILL REGIONAL HOSPITAL GRANDVIEW DRIVE COBLESKILL |
$10.80 | — | — | — | — | — | — | — | — |
| O'CONNOR HOSPITAL DELHI |
$10.80 | — | — | — | — | — | — | — | — |
| LITTLE FALLS HOSPITAL LITTLE FALLS |
$10.80 | — | — | — | — | — | — | — | — |
| SAINT BARNABAS HOSPITAL HEALTH SYSTEM BRONX |
$12.95 | — | — | $11.52 | — | — | — | — | — |
| GENEVA GENERAL HOSPITAL GENEVA |
$21.56 | $8.04 | $8.04 | $8.04 | — | — | $10.95 | — | — |
| RIVER HOSPITAL ALEXANDRIA BAY |
$22.82 | $10.64 | $8.04 | $8.04 | $87.72 | $10.64 | $8.04 | $10.64 | — |
| AUBURN COMMUNITY HOSPITAL AUBURN |
$25.87 | $44.84 | $23.33 | $22.22 | $200 | $57.49 | — | $105 | — |
| GUTHRIE LOURDES HOSPITAL BINGHAMTON |
$26.63 | — | — | — | — | — | — | — | — |
| WYOMING COUNTY COMMUNITY HOSPITAL WARSAW |
$28.00 | — | — | — | — | — | $27.53 | — | — |
| NASSAU UNIVERSITY MEDICAL CENTER EAST MEADOW |
$30.10 | $23.87 | $104 | $12.80 | $73.75 | $41.35 | $104 | — | — |
| SAMARITAN MEDICAL CENTER WASHINGTON ST. WATERTOWN |
$32.50 | $107 | $108 | $10.64 | — | — | — | — | — |
| ELLIS HOSPITAL - BELLEVUE WOMAN'S CARE CENTER NOTT STREET SCHENECTADY |
$34.50 | $125 | $135 | — | $139 | — | $20.92 | $100 | — |
| GOLISANO CHILDREN'S HOSPITAL OF BUFFALO BUFFALO |
$35.00 | $13.30 | $114 | $109 | $123 | — | $71.78 | — | — |
| MAIMONIDES MEDICAL CENTER BROOKLYN |
$35.00 | $12.54 | $9.79 | $8.04 | $35.00 | — | — | — | — |
| CARTHAGE AREA HOSPITAL WEST ST CARTHAGE |
$37.59 | — | — | — | — | — | — | — | — |
| CUBA MEMORIAL HOSPITAL CUBA |
$38.00 | — | — | — | — | — | $27.02 | — | — |
| BROOKS-TLC HOSPITAL SYSTEM DUNKIRK |
$38.00 | — | — | $108 | — | $105 | $22.56 | — | — |
| OLEAN GENERAL HOSPITAL OLEAN |
$38.00 | $105 | — | $94.73 | — | — | $8.72 | — | — |
| BASSETT MEDICAL CENTER COOPERSTOWN |
$38.07 | $10.96 | $15.53 | $8.04 | $68.00 | $11.28 | $10.64 | — | $72.00 |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER CORTLAND |
$42.60 | — | — | — | — | — | — | — | — |
| URMC STRONG WEST ROCHESTER |
$50.00 | $9.04 | $10.64 | $12.87 | $26.75 | $10.75 | $141 | $9.04 | — |
| UPSTATE COMMUNITY HOSPITAL SYRACUSE |
$52.00 | — | — | — | — | — | — | — | — |
| THOMPSON HOSPITAL CANANDAIGUA |
$56.05 | $9.04 | $7.98 | $12.59 | $26.81 | $105 | $5.81 | $9.04 | — |
| NOYES MEMORIAL HOSPITAL DANSVILLE |
$56.05 | $9.04 | $8.08 | $14.78 | $26.81 | $105 | $5.81 | $9.04 | — |
| BERTRAND CHAFFEE HOSPITAL SPRINGVILLE |
$57.38 | $10.77 | $10.77 | $10.77 | $10.77 | $10.77 | $24.05 | $10.77 | — |
| FLUSHING HOSPITAL MEDICAL CENTER FLUSHING |
$63.00 | $14.25 | $12.60 | $14.96 | $24.51 | $14.25 | — | $13.54 | — |
| GUTHRIE CORNING HOSPITAL CORNING |
$63.84 | — | — | — | — | — | — | — | — |
| WYNN HOSPITAL UTICA |
$67.20 | — | — | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL HAMILTON |
$71.29 | — | — | — | — | — | $22.28 | $10.43 | — |
| COMMUNITY MEMORIAL HOSPITAL HAMILTON |
$71.29 | — | — | — | — | — | $22.28 | $10.43 | — |
| ST. JAMES HOSPITAL HORNELL |
$72.45 | $9.04 | $10.95 | $8.32 | $26.81 | $113 | $5.81 | $9.04 | — |
| ST. PETER'S HOSPITAL ALBANY |
$75.00 | — | — | — | — | — | — | — | — |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER NIAGARA FALLS |
$77.00 | $107 | $105 | $99.50 | — | $108 | $69.00 | — | — |
| ELIZABETHTOWN COMMUNITY HOSPITAL ELIZABETHTOWN |
$77.00 | — | — | — | — | — | — | — | — |
| CANTON-POTSDAM HOSPITAL POTSDAM |
$78.28 | — | — | — | — | — | — | — | — |
| THE UNITY HOSPITAL OF ROCHESTER LONG POND ROAD ROCHESTER |
$78.28 | — | — | — | — | — | — | — | — |
| ROCHESTER GENERAL HOSPITAL PORTLAND AVE ROCHESTER |
$78.28 | — | — | — | — | — | — | — | — |
| NYU LANGONE TISCH HOSPITAL NEW YORK |
$81.87 | $100 | $1,631 | $1.00 | $1,568 | — | $2,702 | $104 | $78.00 |
| NYU LANGONE HOSPITAL - SUFFOLK PATCHOGUE |
$81.87 | $100 | $1,194 | $1.00 | $1,568 | — | $2,346 | $104 | $78.00 |
| NYU LANGONE HOSPITAL LONG ISLAND MINEOLA |
$81.87 | $100 | $1,897 | $1.00 | $1,568 | — | $2,702 | $104 | $78.00 |
| KENMORE MERCY HOSPITAL KENMORE |
$83.80 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL OF BUFFALO BUFFALO |
$83.80 | — | — | — | — | — | — | — | — |
| MOUNT ST. MARY'S HOSPITAL LEWISTON |
$83.80 | — | — | — | — | — | — | — | — |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL ONE NORTON AVE ONEONTA |
$87.96 | — | — | — | — | — | — | — | — |
| ST. VINCENT'S HOSPITAL WESTCHESTER YONKERS |
$90.00 | $90.00 | $90.00 | $90.00 | — | — | — | — | — |
| HIGHLAND HOSPITAL ROCHESTER |
$100 | $116 | $109 | — | $179 | $115 | $119 | $101 | — |
| MONTEFIORE ST. LUKE'S CORNWALL CAMPUS NEWBURGH |
$105 | $104 | $105 | $84.21 | — | $116 | — | — | — |
| MONTEFIORE NYACK HOSPITAL NYACK |
$105 | $104 | $12.80 | $105 | $509 | $116 | — | — | — |
| MEDINA MEMORIAL HOSPITAL MEDINA |
$110 | — | $170 | — | — | — | — | — | — |
| HSS ASC OF MANHATTAN NEW YORK |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS BROOKLYN BROOKLYN |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HOSPITAL FOR SPECIAL SURGERY NEW YORK |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS WESTCHESTER WHITE PLAINS |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS SOUTHAMPTON WATER MILL |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS HUDSON YARDS 10TH FLOOR |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS LONG ISLAND UNIONDALE |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS QUEENS FRESH MEADOWS |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
| HSS WEST SIDE ASC NEW YORK |
$120 | $48.11 | $12.41 | $9.31 | $22.16 | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99281, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $183 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $140 for this?
That is the median of what the 134 New York hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99281 in New York, Medicare reimburses about $11.97 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New York range from $10.56 to $3,338 — that means hospital cash prices are typically 11.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in New York?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in New York range from $10.56 to $3,338, with a median of $140. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in New York?
- The cheapest New York hospital published cash price for this procedure is $10.56. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit for problem that may not require health care professi… in nearby states
Other procedures in New York
Methodology. Cash prices and insurance-negotiated rates published by each New York facility under federal price transparency rules (45 CFR § 180). CPT code 99281 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.