Critical care, first hour of physician time at Elizabethtown Community 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

Elizabethtown, NY

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How this price compares nationally

Elizabethtown Community Hospital’s median price of $506 is 57% 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 Elizabethtown Community Hospital

Negotiated rates from the hospital’s own file: 7 payers, 32 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	Humana tricare professional · fee schedule · both	$189.59	$189.59	$189.59 – $189.59
2	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$192.27	$192.27	$192.27 – $192.27
3	Aetna medicare advantage professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
4	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
5	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
6	Excellus medicare advantage professional · fee schedule · both	$199.57	$199.57	$199.57 – $199.57
7	Blue Cross Blue Shield essential plans/non-aliessa 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	$294.90	$294.90	$294.90 – $294.90
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/ppo/hmo professional · fee schedule · both	$339.41	$339.41	$339.41 – $339.41
13	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$362.85	$362.85	$333.43 – $392.27
14	Excellus managed medicaid/essential plans professional · fee schedule · both	$452.13	$452.13	$452.13 – $452.13
15	Blue Cross Blue Shield blue access professional · fee schedule · both	$492.95	$492.95	$492.95 – $492.95
16	Blue Cross Blue Shield hmo/pos/epo/ppo/ind professional · fee schedule · both	$520.03	$520.03	$520.03 – $520.03
17	UnitedHealthcare commercial professional · fee schedule · both	$617.02	$617.02	$617.02 – $617.02
18	Humana tricare facility · fee schedule · outpatient	$800.48	$800.48	$800.48 – $800.48
19	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$896.42	$896.42	$896.42 – $896.42
20	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$896.42	$896.42	$896.42 – $896.42
21	Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$896.42	$896.42	$896.42 – $896.42
22	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$896.42	$896.42	$896.42 – $896.42
23	Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges	$943.60	$943.60	$943.60 – $943.60
24	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$1,276	$1,276	$1,276 – $1,276
25	Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges	$1,392	$1,392	$1,392 – $1,392

Page 1 of 2 · 32 rates

Last updated: Apr 28, 2026

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