Emergency Department Visit with High Level of Medical Decision Making Cost in New York
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 134 New York hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,019
📉 Low $88.35
📈 High $10,709
🏥 134 hospitals
🏛️ 105 with insurance contracts
🇺🇸 Medicare $186
Hospital comparison — New York
Sorted by cash price (lowest first). Showing top 60 of 134 hospitals.
Billed more than $1,019 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Centene | Cigna | Humana | BCBS | Medicare | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| COBLESKILL REGIONAL HOSPITAL GRANDVIEW DRIVE COBLESKILL |
$88.35 | — | — | — | — | — | — | — | — |
| LITTLE FALLS HOSPITAL LITTLE FALLS |
$88.35 | — | — | — | — | — | — | — | — |
| O'CONNOR HOSPITAL DELHI |
$88.35 | — | — | — | — | — | — | — | — |
| AHN WESTFIELD MEMORIAL HOSPITAL WESTFIELD |
$108 | $755 | $80.00 | — | $281 | $769 | — | $747 | — |
| AUBURN COMMUNITY HOSPITAL AUBURN |
$131 | $228 | $23.33 | $22.22 | $1,409 | $292 | — | $743 | — |
| GENEVA GENERAL HOSPITAL GENEVA |
$163 | $67.19 | $67.19 | $67.19 | — | — | $168 | — | — |
| JONES MEMORIAL HOSPITAL WELLSVILLE |
$166 | $141 | $154 | $227 | $206 | $796 | $63.46 | $141 | — |
| SAINT BARNABAS HOSPITAL HEALTH SYSTEM BRONX |
$196 | — | — | $176 | — | — | — | — | — |
| GUTHRIE LOURDES HOSPITAL BINGHAMTON |
$203 | — | — | — | — | — | — | — | — |
| WYOMING COUNTY COMMUNITY HOSPITAL WARSAW |
$206 | — | — | — | — | — | $211 | — | — |
| THE BROOKLYN HOSPITAL CENTER BROOKLYN |
$210 | $740 | $1,150 | $740 | $60.60 | — | $81.46 | — | — |
| OLEAN GENERAL HOSPITAL OLEAN |
$261 | $743 | — | $669 | — | — | $79.32 | — | — |
| CUBA MEMORIAL HOSPITAL CUBA |
$261 | — | — | — | — | — | $213 | — | — |
| BROOKS-TLC HOSPITAL SYSTEM DUNKIRK |
$261 | — | — | $766 | — | $743 | $178 | — | — |
| ELLIS HOSPITAL - BELLEVUE WOMAN'S CARE CENTER NOTT STREET SCHENECTADY |
$271 | $125 | $135 | — | $139 | — | $171 | $100 | — |
| BERTRAND CHAFFEE HOSPITAL SPRINGVILLE |
$292 | $165 | $165 | $125 | $165 | $165 | $189 | $165 | — |
| NOYES MEMORIAL HOSPITAL DANSVILLE |
$293 | $141 | $73.45 | $227 | $206 | $743 | $48.54 | $141 | — |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER CORTLAND |
$324 | — | — | — | — | — | — | — | — |
| GUTHRIE CORNING HOSPITAL CORNING |
$324 | — | — | — | — | — | — | — | — |
| CARTHAGE AREA HOSPITAL WEST ST CARTHAGE |
$341 | — | — | — | — | — | — | — | — |
| RIVER HOSPITAL ALEXANDRIA BAY |
$343 | $131 | $67.19 | $67.19 | $613 | $164 | $67.19 | $164 | — |
| ST JOSEPH'S HOSPITAL HEALTH HOSPITAL SYRACUSE |
$367 | — | — | — | — | — | — | — | — |
| UPSTATE COMMUNITY HOSPITAL SYRACUSE |
$393 | — | — | — | — | — | — | — | — |
| CANTON-POTSDAM HOSPITAL POTSDAM |
$399 | — | — | — | — | — | — | — | — |
| ROCHESTER GENERAL HOSPITAL PORTLAND AVE ROCHESTER |
$399 | — | — | — | — | — | — | — | — |
| MASSENA HOSPITAL HOSPITAL DRIVE MASSENA |
$399 | — | — | — | — | — | — | — | — |
| NEWARK-WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK |
$399 | — | — | — | — | — | — | — | — |
| CLIFTON SPRINGS HOSPITAL COULTER ROAD CLIFTON SPRINGS |
$399 | — | — | — | — | — | — | — | — |
| UNITED MEMORIAL MEDICAL CENTER NORTH STREET BATAVIA |
$399 | — | — | — | — | — | — | — | — |
| THE UNITY HOSPITAL OF ROCHESTER LONG POND ROAD ROCHESTER |
$399 | — | — | — | — | — | — | — | — |
| GOUVERNEUR HOSPITAL WEST BARNEY STREET GOUVERNEUR |
$399 | — | — | — | — | — | — | — | — |
| BASSETT MEDICAL CENTER COOPERSTOWN |
$402 | $169 | $239 | $67.19 | $85.00 | $174 | $145 | — | $90.00 |
| SAMARITAN MEDICAL CENTER WASHINGTON ST. WATERTOWN |
$405 | $758 | $766 | $166 | — | — | — | — | — |
| KENMORE MERCY HOSPITAL KENMORE |
$411 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL OF BUFFALO BUFFALO |
$411 | — | — | — | — | — | — | — | — |
| MOUNT ST. MARY'S HOSPITAL LEWISTON |
$411 | — | — | — | — | — | — | — | — |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL ONE NORTON AVE ONEONTA |
$415 | — | — | — | — | — | — | — | — |
| URMC STRONG WEST ROCHESTER |
$428 | $141 | $166 | $200 | $412 | $167 | $999 | $141 | — |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL PLATTSBURGH |
$438 | $164 | $123 | $164 | — | $164 | $140 | — | $416 |
| ST. JAMES HOSPITAL HORNELL |
$439 | $111 | $157 | $128 | $206 | $796 | $48.54 | $141 | — |
| ST. PETER'S HOSPITAL ALBANY |
$450 | — | — | — | — | — | — | — | — |
| SAMARITAN HOSPITAL - ALBANY MEMORIAL CAMPUS ALBANY |
$450 | — | — | — | — | — | — | — | — |
| CLIFTON-FINE HOSPITAL STAR LAKE |
$473 | — | — | — | — | — | $596 | — | — |
| CLIFTON-FINE HOSPITAL STAR LAKE |
$473 | — | — | — | — | — | $596 | — | — |
| THOMPSON HOSPITAL CANANDAIGUA |
$474 | $141 | $124 | $193 | $206 | $743 | $48.54 | $141 | — |
| ADIRONDACK MEDICAL CENTER SARANAC LAKE |
$476 | $780 | — | $796 | $461 | — | $490 | $162 | — |
| MAIMONIDES MEDICAL CENTER BROOKLYN |
$490 | $11.04 | $17.57 | $22.63 | $39.01 | — | — | — | — |
| BRONXCARE HOSPITAL CENTER - FULTON CAMPUS FULTON AVE BRONX |
$492 | $200 | $132 | $63.83 | $796 | $1,102 | — | $185 | — |
| FLUSHING HOSPITAL MEDICAL CENTER FLUSHING |
$507 | $206 | $20.00 | $216 | $354 | $206 | — | $195 | — |
| ROME MEMORIAL HOSPITAL ROME |
$522 | $81.00 | $149 | — | $698 | $698 | — | $32.00 | — |
| MAIMONIDES MIDWOOD COMMUNITY HOSPITAL BROOKLYN |
$524 | $524 | $524 | $524 | — | — | — | — | — |
| MEDINA MEMORIAL HOSPITAL MEDINA |
$534 | — | $828 | — | — | — | — | — | — |
| GOLISANO CHILDREN'S HOSPITAL OF BUFFALO BUFFALO |
$537 | $205 | $807 | $773 | $870 | — | $507 | — | — |
| NYU LANGONE HOSPITAL LONG ISLAND MINEOLA |
$561 | $100 | $2,425 | $725 | $5,342 | — | $6,077 | $725 | $78.00 |
| NYU LANGONE TISCH HOSPITAL NEW YORK |
$561 | $100 | $3,985 | $725 | $5,342 | — | $6,077 | $725 | $78.00 |
| NYU LANGONE HOSPITAL - SUFFOLK PATCHOGUE |
$561 | $100 | $2,911 | $725 | $5,342 | — | $5,281 | $725 | $78.00 |
| ST. VINCENT'S HOSPITAL WESTCHESTER YONKERS |
$658 | $568 | $579 | $579 | — | — | — | — | — |
| MONTEFIORE HOSPITAL (MOSES CAMPUS) BRONX |
$680 | $736 | $695 | $250 | $1,985 | $818 | — | — | — |
| HIGHLAND HOSPITAL ROCHESTER |
$707 | $816 | $768 | — | $1,262 | $812 | $843 | $712 | — |
| ALICE HYDE MEDICAL CENTER MALONE |
$736 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, 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: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,019 for this?
That is the median of what the 134 New York hospitals above publish for Emergency department visit with high level of medical decision making — 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 99285 in New York, Medicare reimburses about $186 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New York range from $88.35 to $10,709 — that means hospital cash prices are typically 5.5x 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 with high level of medical decision making cost in New York?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in New York range from $88.35 to $10,709, with a median of $1,019. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in New York?
- The cheapest New York hospital published cash price for this procedure is $88.35. 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 with high level of medical decision making 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 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.