Doctor visits and therapy CPT 99291 Outpatient

Critical care (first hour) cost in Utica, NY

In Utica-Rome, NY, 3 hospitals list a cash price for critical care, first 30 to 74 minutes: from $356.40 to $903.48, with a median of $543.78. The lowest listed price is at Mvhs — $187.38 less than the median here. Across New York, the median is $1,539.00 at 89 hospitals.

Cash prices at 3 facilities across 3 cities for code 99291, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$356.40Mvhs
Median$543.78half pay less
Highest$903.48in this market
Difference2.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Utica-Rome, NY.

median
Lowest $356.40Highest $3,759.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mvhs lowest Utica, NY Critical Care Ill/Injured Patient Init 30-74 Min $356.40 $594.00 $84.68–$483.83 40% —
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Little Falls Hospital Little Falls, NY · (315) 823-5261 HC Trauma Critical Care Emergency Room First 30-74 Minutes $543.78 $2,014.00 $1,067.91–$925.06 73% —
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Little Falls Hospital Little Falls, NY · (315) 823-5261 HC Emergency Critical Care Without Trauma First 30-74 Minutes $590.37 $2,186.57 $1,067.91–$925.06 73% —
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Critical care first hour $903.48 $2,238.00 $182.00–$1,017.45 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Critical care first hour $903.48 $2,238.00 $182.00–$1,017.45 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Crit care (1st hour) $903.48 $2,238.00 $182.00–$1,017.45 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Crit care (1st hour) $903.48 $2,238.00 $182.00–$1,017.45 60% Aug 11, 2026
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Mvhs Utica, NY HC Critical Care 30-74 Min $3,759.00 $6,265.00 $242.13–$4,698.75 40% —
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Mvhs Utica, NY HC Critical Care 30-74 Min $3,759.00 $6,265.00 $242.13–$4,698.75 40% —
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Outpatient: lowest $356.40, median $543.78, highest $903.48 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $2,331.24. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This code bills care for a life-threatening illness or injury for the first 30 to 74 minutes. It appears on emergency department bills after serious cases and in intensive care.

What the price covers

The price is the hospital's charge. Additional half hours use 99292, and the doctor bills separately.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99291 ($1,856.80). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Little Falls Hospital Little Falls, NYCAH PR Critical Care, E/M 30-74 Minutes $116.76 file
Mvhs Utica, NYCritical Care Ill/Injured Patient Init 30-74 Min $155.40 file