Critical care, first hour of physician time at Columbia Memorial 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

Hudson, NY

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How this price compares nationally

Columbia Memorial Hospital’s median price of $294 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 Columbia Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 62 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 medicaid_fac professional · fee schedule · outpatient	$99.50	$99.50	$99.50 – $99.50
2	UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient	$129.29	$129.29	$129.29 – $129.29
3	Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient	$172.26	$172.26	$172.26 – $172.26
4	Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient	$182.40	$182.40	$182.40 – $182.40
5	Tricare all products_nonphysician_fac professional · fee schedule · outpatient	$187.94	$187.94	$187.94 – $187.94
6	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient	$187.95	$187.95	$187.95 – $187.95
7	Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient	$189.73	$189.73	$189.73 – $189.73
8	Blue Cross Blue Shield ppo_fac professional · fee schedule · outpatient	$189.73	$189.73	$189.73 – $189.73
9	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient	$206.75	$206.75	$206.75 – $206.75
10	Tricare all products_physician_fac professional · fee schedule · outpatient	$221.11	$221.11	$221.11 – $221.11
11	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient	$221.12	$221.12	$221.12 – $221.12
12	Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient	$221.12	$221.12	$221.12 – $221.12
13	UnitedHealthcare medicare_fac professional · fee schedule · outpatient	$221.12	$221.12	$221.12 – $221.12
14	Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient	$223.72	$223.72	$223.72 – $223.72
15	Aetna medicare_fac professional · fee schedule · outpatient	$227.75	$227.75	$227.75 – $227.75
16	UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient	$236.49	$236.49	$236.49 – $236.49
17	Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient	$236.88	$236.88	$236.88 – $236.88
18	Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient	$243.23	$243.23	$243.23 – $243.23
19	Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient	$244.20	$244.20	$244.20 – $244.20
20	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient	$244.21	$244.21	$244.21 – $244.21
21	Blue Cross Blue Shield pathway enhanced_nonfac professional · fee schedule · outpatient	$246.40	$246.40	$246.40 – $246.40
22	Blue Cross Blue Shield ppo_nonfac professional · fee schedule · outpatient	$246.40	$246.40	$246.40 – $246.40
23	UnitedHealthcare all products_fac professional · fee schedule · outpatient	$265.34	$265.34	$265.34 – $265.34
24	Aetna all products_fac professional · fee schedule · outpatient	$267.56	$267.56	$267.56 – $267.56
25	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient	$268.63	$268.63	$268.63 – $268.63

Page 1 of 3 · 62 rates

Last updated: Dec 31, 2025

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