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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in PA

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Hospitals
34
Min
$1,017.26
Median
$7,009.22
Max
$8,302.00
Range multiplier
8.2×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield21110$682.16$6,956.87$24,30135.6×
upmc health plan2051$1,010.07$3,461.50$8,160.778.1×
Aetna1851$195.92$6,810.69$14,64374.7×
UnitedHealthcare1833$892.40$7,151.22$8,410.629.4×
Cigna1825$1,453.83$7,355.55$10,2007.0×
pa health & wellness1517$1,495.37$7,355.55$8,489.225.7×
upmc work partners1717$3,124.04$3,163.05$3,489.931.1×
amerihealth caritas1315$1,384.60$7,355.55$8,489.226.1×
Humana911$1,398.45$6,878.80$7,626.895.5×
Medicaid29$144.32$852.80$1,308.009.1×
geisinger59$2,719.75$5,396.78$8,389.583.1×
keystone first48$954.48$2,399.60$8,008.238.4×
health partners plans26$1,670.00$1,670.00$7,779.434.7×
Multiplan25$3,956.00$3,956.00$4,058.061.0×
ibc24$8,014.30$8,805.44$8,930.321.1×
occunet33$9,194.43$12,584$12,5841.4×
jup health partners chip13$804.59$852.80$870.001.1×
keystone health plan33$10,519$11,128$11,1281.1×
Medicare13$854.86$960.16$1,140.001.3×
jup geisinger commercial13$1,538.62$1,724.13$2,029.671.3×
pa health_wellness chc22$1,008.80$1,008.80$1,008.801.0×
city of washington22$13,621$13,621$13,6211.0×
clover health22$8,084.50$8,084.50$8,084.501.0×
elder health22$9,152.27$9,152.27$9,152.271.0×
galaxy health plan12$3,956.00$3,956.00$3,956.001.0×
gateway health plan22$9,533.61$9,533.61$9,533.611.0×
health plan of upper ohio valley22$6,946.90$6,946.90$6,946.901.0×
independent health12$9,905.66$10,612$11,3181.1×
innovage22$7,779.43$7,779.43$7,779.431.0×
intergroup12$3,956.00$3,956.00$3,956.001.0×
jup pa health_wellness12$170.56$511.68$852.805.0×
keystone autism services22$10,934$10,947$10,9601.0×
naphcare22$11,440$11,440$11,4401.0×
Oscar Health22$11,440$11,440$11,4401.0×
pennsylvania health and wellness22$8,389.58$8,389.58$8,389.581.0×
prime health services22$12,140$12,140$12,1401.0×
senior life22$6,810.69$6,810.69$6,810.691.0×
upmc commercial22$6,865.00$8,532.50$10,2001.5×
abington pro ibc11$1,048.92$1,048.92$1,048.921.0×
wtc health program11$9,533.61$9,533.61$9,533.611.0×
fidelis11$7,860.39$7,860.39$7,860.391.0×
Anthem BCBS11$808.00$808.00$808.001.0×
private health care systems11$681.00$681.00$681.001.0×
WellCare11$8,096.20$8,096.20$8,096.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA7$1,008.80$8,302.00$10,200
Upmc HamotEriePA11$836.96$8,023.89$11,318
Temple University HospitalPhiladelphiaPA19$1,670.00$7,931.97$24,301
Jeanes HospitalPhiladelphiaPA18$1,670.00$7,855.70$24,301
Memorial HospitalYorkPA9$682.16$7,192.63$24,141
Upmc CarlisleCarlislePA11$1,016.56$7,127.68$21,356
Upmc Horizon HospitalGreenvillePA9$808.00$7,083.12$12,780
The Childrens Home Of PittsburghPittsburghPA7$836.96$7,059.96$7,355.55
Altoona Regional Health SystemAltoonaPA7$836.96$7,059.96$7,355.55
Upmc Childrens Hospital Of PghPittsburghPA7$836.96$7,059.96$7,355.55
Upmc Magee-Womens HospitalPittsburghPA7$836.96$7,059.96$7,355.55
Community General Osteopathic Hosp.HarrisburgPA9$1,016.56$7,009.22$11,128
Upmc Pinnacle HospitalsHarrisburgPA9$1,016.56$7,009.22$11,128
Upmc Northwest HospitalSenecaPA7$1,254.18$6,993.90$7,491.76
Upmc East HospitalMonroevillePA8$844.93$6,957.80$7,491.76
Whs - GreeneWaynesburgPA7$5,108.02$6,946.90$15,707
The Washington HospitalWashingtonPA7$5,108.02$6,946.90$15,707
Upmc JamesonNew CastlePA10$851.73$6,810.69$9,194.43
Upmc ShadysidePittsburghPA9$844.93$4,955.54$7,491.76
Upmc Mercy HospitalPittsburghPA7$681.00$4,527.99$7,491.76
Charles Cole Memorial HospitalCoudersportPA12$4,945.00$2,967.00$1,192.92$3,461.50$5,276.73
WellsboroWellsboroPA2$993.28$2,058.66$3,124.04
Aria HealthPhiladelphiaPA14$5,120.00$1,602.77$144.32$1,017.26$8,930.32
Doylestown HospitalDoylestownPA0$41,668$41,668
Butler Memorial HospitalButlerPA0
Milton S. Hershey Medical CenterHersheyPA0$46,434$15,384
Physicians Care Surgical HospitalRoyersfordPA0$31,105$10,218
Wayne Memorial HospitalHonesdalePA0$14,569$10,198
Hampden Medical CenterEnolaPA0$46,434$14,613
Holy Spirit HospitalCamp HillPA0$46,434$11,093
St. Joseph Medical CenterReadingPA0$46,434$12,077
Penn State Hershey Rehabilitation LlHummelstownPA0$46,434$12,077
Clarion HospitalClarionPA0
Uniontown HospitalUniontownPA0$21,734$10,867

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.