ED visit, level 5CPT 99285Emergency

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 12.8× price range across 123 Colorado hospitals. Open in the explorer → — filter by insurer or region, map it, or compare hospitals side by side.

How to read “% of Medicare” Medicare’s payment is a hospital-specific benchmark built from CMS files — adjusted for local wages and case complexity, and roughly pegged to the cost of care. A commercial rate at 300% means a private plan pays about triple that benchmark for the same care at the same hospital. The gap is negotiation, not quality. Full methodology →
Median commercial negotiated rate Medicare benchmark
$499
$635
$690
$810
$827
$850
$946
$1,050
$1,525
$1,528
$1,562
$1,719
$1,831
$1,922
$1,926
$2,165
$2,614
$2,756
$2,838
$5,342

The part you don’t feel

Nyu Langone Hospitals $5,342vsCommunity Memorial Hospital $416 what you pay what your plan pays
Deductible not metearly in the plan year
Nyu Langone Hospitals
Community Memorial Hospital
$4,926you feel all of it
Deductible met20% coinsurance
Nyu Langone Hospitals
Community Memorial Hospital
$985$3,941 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Nyu Langone Hospitals
Community Memorial Hospital
$0the market goes blind

The gap is $4,926 in every row. The only thing that changes is how much of it reaches the person choosing. Nobody hid the price — the deductible structure hides the difference, and a difference nobody feels is a difference nobody shops. Illustration uses a 20% coinsurance plan with no separate facility or professional bill; your own plan governs.

Detail (click headers to sort, or “why” for cost vs price)

HospitalCommercial medianMedicare% of MedicareEst. cost*Plan rows
Mount Sinai Hospital⚠ data flag$161$74322%—1
Mount Sinai West⚠ data flag$161$74322%—1
Bertrand Chaffee Hospital⚠ data flag$165$74322%$24926
Clifton Springs Hospital And Clinic⚠ data flag$189$74325%—2
Phelps Hospital⚠ data flag ● actual$211$74328%$6095
United Memorial Medical Center⚠ data flag$270$74336%—3
Cuba Memorial Hospital⚠ data flag$303$60850%—2
F F Thompson Hospital⚠ data flag ● actual$331$74344%—16
Ny Eye And Ear Infirmary Of Mount Sinai⚠ data flag$343$74346%—2
Newark-Wayne Community Hospital⚠ data flag$345$74346%—1
Nathan Littauer Hospital⚠ data flag ● actual$363$74349%$49524
Community Memorial Hospital$416$60868%—2
Ellis Hospital$499$74367%$14912
Brooks-Tlc Hospital System$522$74370%—5
Oneida Health Hospital ● actual$527$74371%$43321
Bronxcare Hospital Center$558$74375%$58444
Lewis County General Hospital$590$60897%—8
Suny/Downstate University Hospital Of Brooklyn$595$74380%$4928
O'Connor Hospital$635$608104%—12
Nicholas H Noyes Memorial Hospital ● actual$644$74387%—18
Auburn Community Hospital$660$74389%$21821
St Barnabas Hospital$667$74390%$1,27015
Garnet Health Medical Center Catskills$676$74391%—6
Wyckoff Heights Medical Center ● actual$680$74391%$71026
Cobleskill Regional Hospital$681$608112%—16
Kaleida Health$690$74393%—21
Rome Memorial Hospital ● actual$699$74394%$48519
Montefiore Medical Center$714$74396%$14265
Adirondack Medical Center - Saranac Lake$717$74396%$3236
Olean General Hospital$721$74397%—13
Maimonides Medical Center$724$74397%—4
Lincoln Medical & Mental Health Center$743$743100%$65444
Elmhurst Hospital Center$743$743100%$57044
South Brooklyn Health$743$743100%$55343
Metropolitan Hospital Center$743$743100%$74444
Brookdale Hospital Medical Center$743$743100%$71831
Harlem Hospital Center$743$743100%$60543
Our Lady Of Lourdes Memorial Hospital$752$743101%$43519
St Anthony Community Hospital ● actual$757$743102%$5312
St John'S Episcopal Hospital At South Shore ● actual$763$743103%$77313
Jamaica Hospital Medical Center ● actual$769$743103%$52629
Little Falls Hospital$771$608127%—13
Aurelia Osborn Fox Memorial Hospital$777$743105%$93214
Jacobi Medical Center$782$743105%$60544
Kings County Hospital Center$782$743105%$49344
Bellevue Hospital Center$782$743105%$55544
Queens Hospital Center$782$743105%$63044
Woodhull Medical & Mental Health Center$782$743105%$72244
Jones Memorial Hospital ● actual$796$743107%—18
Wynn Hospital ● actual$810$743109%$1,06439
Corning Hospital$827$743111%$26324
Medina Memorial Hospital$828$608136%—7
Flushing Hospital Medical Center ● actual$832$743112%$99528
St James Hospital ● actual$850$743114%—15
Guthrie Cortland Regional Medical Center$854$743115%$36722
Garnet Health Medical Center$886$743119%—8
Chenango Memorial Hospital$892$743120%—7
Carthage Area Hospital$911$608150%—3
St John'S Riverside Hospital$926$743125%$59918
St Joseph'S Medical Center$940$743126%$1,51013
River Hospital Clinics ● actual$941$608155%—25
Nassau University Medical Center$945$743127%$66110
Bassett Healthcare$946$743127%$71012
Schuyler Hospital$985$608162%—5
Arnot Ogden Medical Center$1,009$743136%$5789
Ellenville Regional Hospital$1,009$608166%—11
Upmc Chautauqua At Wca$1,015$743137%$61016
The University Of Vermont Health Network-Alice Hy$1,042$608171%—10
Oswego Hospital ● actual$1,050$743141%$6215
Vassar Brothers Medical Center$1,147$743154%—1
Northern Dutchess Hospital$1,147$743154%—1
Sisters Of Charity Hospital ● actual$1,193$743160%$91199
Kenmore Mercy Hospital$1,193$743160%$94599
Mount St. Mary'S Hospital & Health Center$1,193$743160%$97599
Mercy Hospital Of Buffalo ● actual$1,193$743160%$1,02899
Brooklyn Hospital Center - Downtown Campus ● actual$1,245$743167%$49510
Soldiers And Sailors Memorial Hospital Of Yates ● actual$1,269$608209%—5
Columbia Memorial Hospital$1,272$743171%$53816
Strong Memorial Hospital ● actual$1,310$743176%—36
Delaware Valley Hospital$1,344$608221%—4
Cayuga Medical Center At Ithaca ● actual$1,363$743183%$8857
Putnam Hospital Center$1,376$743185%—2
Montefiore New Rochelle Hospital$1,389$743187%$67028
University Hospital S U N Y Health Science Center$1,397$743188%$71416
Geneva General Hospital ● actual$1,476$743199%$1,4046
Elizabethtown Community Hospital$1,509$608248%—16
Saratoga Hospital$1,525$743205%$49614
Crouse Hospital ● actual$1,528$743206%—10
Suny/Stony Brook University Hospital ● actual$1,532$743206%$1,05820
United Health Services Hospitals$1,550$743209%—8
Nyack Hospital$1,562$743210%$59023
St Joseph'S Hospital Health Center ● actual$1,623$743218%$65495
Samaritan Medical Center ● actual$1,665$743224%$8169
Niagara Falls Memorial Medical Center ● actual$1,702$743229%$1,16011
Richmond University Medical Center$1,719$743231%$1,32213
Glens Falls Hospital$1,719$743231%$79919
St Catherine Of Siena Hospital$1,753$743236%$55391
Chsli St Joseph Hospital$1,812$743244%$63076
St Charles Hospital$1,831$743246%$62391
Montefiore St Luke'S Cornwall$1,862$743250%$1,27439
New York Community Hospital Of Brooklyn.$1,879$743253%—4
Healthalliance Hospital Marys Avenue Campus$1,882$743253%$34923
Mercy Medical Center$1,922$743259%$61991
Margaretville Memorial Hospital$1,922$608316%—18
Highland Hospital ● actual$1,926$743259%—18
Good Samaritan Hospital Medical Center$1,982$743267%$55581
Montefiore Mount Vernon Hospital$2,006$743270%$1,15227
St Francis Hospital - The Heart Center$2,134$743287%$57081
The University Of Vermont Health Network - Champl$2,134$743287%$99821
St Peter'S Hospital ● actual$2,165$743291%$501130
Samaritan Hospital Of Troy, New York ● actual$2,165$743291%$647120
Albany Medical Center Hospital ● actual$2,275$743306%$43017
Erie County Medical Center$2,334$743314%$2,12520
Peconic Bay Medical Center$2,533$743341%—38
Hudson Valley Hospital Center$2,546$743343%$91212
Ns/Lij Hs Southside Hospital$2,586$743348%—38
John T Mather Memorial Hospital Of Port Jefferson$2,602$743350%—38
Northwell Hospital Glen Cove$2,614$743352%—38
Plainview Hospital$2,614$743352%—38
Wyoming County ● actual$2,756$608453%—3
Bon Secours Community Hospital$2,780$743374%$1,72422
Good Samaritan Hospital Of Suffern$2,780$743374%$1,54222
Westchester Medical Center$2,785$743375%$1,27627
Ns/Lij Hs Huntington Hospital$2,806$743377%—38
North Shore University Hospital$2,838$743382%—38
Lenox Hill Hospital$2,838$743382%—38
Staten Island University Hospital$2,838$743382%—38
Long Island Jewish Medical Center$2,838$743382%—38
White Plains Hospital Center$2,917$743392%$1,05524
Northern Westchester Hospital$3,263$743439%—38
New York-Presbyterian/Queens$3,379$743455%$1,67415
New York-Presbyterian Hospital$3,539$743476%$90817
Long Island Community Hospital ● actual$3,542$743477%$549229
Nyu Langone Hospitals ● actual$5,342$743719%$726224

*Cost estimates use hospital-level cost-to-charge ratios from federal cost reports and are approximate; ~ marks categories (imaging, labs) where they are least precise. "Plan rows" is how many distinct plan rates the hospital published; medians over more rows are sturdier.
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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 28 – October 6, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →