Critical care, first hour of physician time at Champlain Valley Physicians Hospital Medical Center

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

Plattsburgh, NY

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Pricing by billing methodology

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $534 is 55% below the median hospital's median price ($1.2k), higher than 12% 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 Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 38 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	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$192.27	$192.27	$192.27 – $192.27
2	Aetna medicare advantage professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
3	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
4	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
5	Excellus medicare advantage professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
6	Humana tricare professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
7	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$239.48	$239.48	$239.48 – $239.48
8	UnitedHealthcare medicare advantage professional · fee schedule · both	$256.36	$256.36	$256.36 – $256.36
9	Aetna commercial professional · fee schedule · both	$293.37	$293.37	$293.37 – $293.37
10	Blue Cross Blue Shield individual network professional · fee schedule · both	$319.31	$319.31	$319.31 – $319.31
11	Excellus commercial professional · fee schedule · both	$328.76	$328.76	$328.76 – $328.76
12	Highmark ind/fep professional · fee schedule · both	$339.41	$339.41	$339.41 – $339.41
13	Highmark ppo/hmo professional · fee schedule · both	$339.41	$339.41	$339.41 – $339.41
14	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$381.85	$381.85	$350.89 – $412.81
15	Excellus managed medicaid/essential plans professional · fee schedule · both	$452.13	$452.13	$452.13 – $452.13
16	Blue Cross Blue Shield blue access professional · fee schedule · both	$522.74	$522.74	$522.74 – $522.74
17	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$530.10	$530.10	$530.10 – $530.10
18	Blue Cross Blue Shield hmo professional · fee schedule · both	$549.83	$549.83	$549.83 – $549.83
19	Blue Cross Blue Shield ind professional · fee schedule · both	$549.83	$549.83	$549.83 – $549.83
20	Blue Cross Blue Shield ppo professional · fee schedule · both	$549.83	$549.83	$549.83 – $549.83
21	UnitedHealthcare commercial professional · fee schedule · both	$617.02	$617.02	$617.02 – $617.02
22	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$633.65	$633.65	$633.65 – $633.65
23	Excellus medicare advantage facility · fee schedule · outpatient	$973.31	$973.31	$973.31 – $973.31
24	Humana tricare facility · fee schedule · outpatient	$978.04	$978.04	$978.04 – $978.04
25	Aetna medicare advantage facility · fee schedule · outpatient	$1,030	$1,030	$1,030 – $1,030

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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