Critical care, first hour of physician time at Albany Medical Center Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN

Albany, NY

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How this price compares nationally

Albany Medical Center Hospital’s median price of $299 is 75% below the median hospital's median price ($1.2k), higher than 6% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Albany Medical Center Hospital

Negotiated rates from the hospital’s own file: 7 payers, 70 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient	$164.65	$164.65	$164.65 – $164.65
2	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient	$169.63	$169.63	$169.63 – $169.63
3	Tricare all products_nonphysician_fac professional · fee schedule · outpatient	$169.63	$169.63	$169.63 – $169.63
4	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient	$186.60	$186.60	$186.60 – $186.60
5	Tricare all products_physician_fac professional · fee schedule · outpatient	$199.56	$199.56	$199.56 – $199.56
6	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient	$199.57	$199.57	$199.57 – $199.57
7	Highmark medicaid_fac professional · fee schedule · outpatient	$199.57	$199.57	$199.57 – $199.57
8	UnitedHealthcare medicare_fac professional · fee schedule · outpatient	$199.57	$199.57	$199.57 – $199.57
9	Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient	$205.29	$205.29	$205.29 – $205.29
10	Aetna medicare_fac professional · fee schedule · outpatient	$207.55	$207.55	$207.55 – $207.55
11	Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient	$211.50	$211.50	$211.50 – $211.50
12	Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient	$217.90	$217.90	$217.90 – $217.90
13	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient	$217.91	$217.91	$217.91 – $217.91
14	Blue Cross Blue Shield medicare facility · fee schedule · outpatient	$218.72	$218.72	$218.72 – $218.72
15	Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient	$219.53	$219.53	$219.53 – $219.53
16	Aetna medicare advantage facility · fee schedule · outpatient	$219.64	$219.64	$219.64 – $219.64
17	Highmark medicare_midlevel_nof professional · fee schedule · outpatient	$238.35	$238.35	$238.35 – $238.35
18	Highmark medicare_midlevel_off professional · fee schedule · outpatient	$238.35	$238.35	$238.35 – $238.35
19	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient	$239.70	$239.70	$239.70 – $239.70
20	Tricare all products_physician_nonfac professional · fee schedule · outpatient	$256.35	$256.35	$256.35 – $256.35
21	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient	$256.36	$256.36	$256.36 – $256.36
22	Highmark medicaid_nonfac professional · fee schedule · outpatient	$256.36	$256.36	$256.36 – $256.36
23	UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient	$256.36	$256.36	$256.36 – $256.36
24	Aetna medicare_nonfac professional · fee schedule · outpatient	$266.61	$266.61	$266.61 – $266.61
25	Blue Cross Blue Shield medicare_nonfac professional · fee schedule · outpatient	$266.61	$266.61	$266.61 – $266.61

Page 1 of 3 · 70 rates

Last updated: Dec 31, 2025

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