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Renal function panel

CPT 80069 · negotiated-rate distribution across hospitals in PA

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Hospitals
57
Min
$9.11
Median
$53.21
Max
$173.13
Range multiplier
19.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27173$3.13$93.60$443.80141.8×
Blue Cross Blue Shield27172$5.64$23.05$334.5659.3×
upmc health plan25101$7.24$10.56$113.3615.7×
UnitedHealthcare2799$5.21$12.13$406.9878.1×
Cigna2794$8.68$115.57$253.6029.2×
Multiplan1150$9.48$202.80$565.6059.7×
pa health & wellness2145$9.37$16.36$2,315.52247.1×
intergroup1544$63.70$208.00$3,704.0058.1×
amerihealth caritas2244$8.94$10.82$2,208.32247.0×
geisinger2139$8.68$13.34$327.1437.7×
First Health1334$68.60$174.98$494.907.2×
private health care systems1326$9.98$154.40$565.6056.7×
Humana1426$8.68$137.60$600.9569.2×
upmc work partners2121$8.58$8.58$8.581.0×
preferred healthcare system612$78.40$96.50$459.555.9×
wirerope works512$131.22$144.56$144.561.1×
america's choice512$208.00$208.00$234.001.1×
health partners plans (jefferson health plan)1111$9.60$9.60$14.481.5×
keystone first411$9.11$23.48$26.782.9×
Medicare210$6.08$8.77$9.111.5×
three rivers provider network48$9.18$121.59$234.0025.5×
selectcare48$88.20$240.00$565.606.4×
health coalition partners46$88.20$171.50$565.606.4×
Medicare Advantage26$9.11$9.33$9.981.1×
pennsylvania health and wellness36$9.55$15.49$21.432.2×
ibc26$6.72$17.60$35.555.3×
innovage55$8.68$8.85$10.501.2×
naphcare34$13.02$13.45$16.491.3×
health payors organization24$304.20$452.58$600.952.0×
national provider network24$151.36$214.26$277.161.8×
gateway health plan34$8.68$10.85$11.521.3×
cbhnp44$9.60$9.60$9.601.0×
prime health services33$13.82$13.82$13.821.0×
allwell pa health_wellness ma23$9.55$9.55$9.551.0×
Anthem BCBS13$105.71$120.59$141.361.3×
clover health33$9.20$9.20$9.201.0×
devoted health participation23$8.68$9.11$9.111.1×
elder health33$10.42$10.42$10.421.0×
fidelis23$8.68$530.25$530.2561.1×
health partners plans33$8.85$8.85$8.851.0×
health plan of upper ohio valley13$8.68$8.68$163.5518.8×
ibc employee benefit23$10.85$10.85$10.851.0×
Medicaid13$12.99$17.18$17.181.3×
occunet33$8.68$13.02$13.021.5×
Oscar Health33$13.02$13.02$13.021.0×
point of comfort refugee resettlement23$8.68$8.68$8.681.0×
univera13$95.10$209.22$278.962.9×
va_champus_tricare23$8.68$8.68$8.681.0×
provider partners health plan22$8.68$8.98$9.291.1×
qualcare12$181.04$181.04$181.041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$134.00$9.98$6.08$9.98$60.76
Aria HealthPhiladelphiaPA29$5.21$9.11$35.37
Upmc Northwest HospitalSenecaPA14$175.00$105.00$7.87$70.00$3,704.00
Upmc Bedford Memorial HospitalEverettPA17$98.00$58.80$3.13$60.76$88.20
Upmc St MargaretPittsburghPA12$192.00$115.20$7.49$54.35$163.20
Upmc HamotEriePA16$634.00$380.40$8.58$53.21$507.20
Charles Cole Memorial HospitalCoudersportPA14$138.00$82.80$5.64$41.73$110.40
Upmc PassavantPittsburghPA14$354.00$212.40$8.07$40.41$329.22
WellsboroWellsboroPA14$260.00$188.80$8.58$173.13$247.00
American Oncologic HospialPhiladelphiaPA16$292.00$8.68$16.68$181.04
Upmc MckeesportMckeesportPA14$408.00$244.80$8.05$153.82$346.80
Muncy Valley HospitalMuncyPA15$260.00$156.00$8.58$133.64$2,315.52
Altoona Regional Health SystemAltoonaPA13$193.00$115.80$8.58$13.79$154.40
The Childrens Home Of PittsburghPittsburghPA13$193.00$115.80$8.58$13.79$154.40
Upmc Childrens Hospital Of PghPittsburghPA13$193.00$115.80$8.58$13.79$154.40
Upmc Magee-Womens HospitalPittsburghPA13$193.00$115.80$8.58$13.79$154.40
Jeanes HospitalPhiladelphiaPA18$1,197.00$8.68$13.02$406.98
Temple University HospitalPhiladelphiaPA20$1,197.00$8.68$13.02$406.98
Upmc Horizon HospitalGreenvillePA17$310.00$186.00$7.77$119.51$263.50
Upmc Mercy HospitalPittsburghPA17$338.00$202.80$7.24$114.92$304.20
Lock Haven HospitalLock HavenPA15$260.00$156.00$8.58$112.37$234.00
Williamsport Hospital & Medical CtrWilliamsportPA15$260.00$156.00$8.58$112.37$234.00
Divine Providence HospitalWilliamsportPA15$260.00$156.00$8.58$112.37$234.00
Curahealth Heritage ValleyBeaverPA9$65.00$17.55$8.60$11.52$54.16
Upmc ShadysidePittsburghPA20$707.00$424.20$8.58$103.59$600.95
Upmc East HospitalMonroevillePA13$298.00$178.80$8.58$101.32$238.40
Upmc JamesonNew CastlePA13$172.00$103.20$8.58$10.85$151.36
Miners HospitalHastingsPA0$338.00$135.20
Westmoreland Regional HospitalGreensburgPA0$79.00$47.40
Armstrong County MemorialKittanningPA0$86.00$25.80
Butler Memorial HospitalButlerPA0$65.00$45.50
Wayne Memorial HospitalHonesdalePA0$198.00$138.60
Pottstown Memorial Medical CenterPottstownPA0$374.00$93.50
The Chester County HospitalWest ChesterPA0$103.00$103.00
Windber Hospital Inc.WindberPA0$147.00$124.95
Doylestown HospitalDoylestownPA0$300.00$300.00
Frick HospitalMount PleasantPA0$79.00$47.40
Latrobe Area HospitalLatrobePA0$79.00$47.40
Presbyterian Medical CenterPhiladelphiaPA0$108.00$108.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$102.00$102.00
Milton S. Hershey Medical CenterHersheyPA0$56.00$18.55
Physicians Care Surgical HospitalRoyersfordPA0$376.00
Hospital Of The Univ Of PennaPhiladelphiaPA0$102.00$102.00
Hampden Medical CenterEnolaPA0$56.00$17.62
St. Joseph Medical CenterReadingPA0$56.00$14.57
Meyersdale Community HospitalMeyersdalePA0$184.00$73.60
Clarion HospitalClarionPA0$65.00$36.40
Reading Hospital And Medical CenterReadingPA0$218.00$152.60
Miners HospitalHastingsPA0$338.00$135.20
Uniontown HospitalUniontownPA0$80.00$40.00
Lifecare Hospitals Of Chester CountyWest ChesterPA0$103.00$103.00
Penn State Hershey Rehabilitation LlHummelstownPA0$56.00$14.57
Chestnut Hill HospitalPhiladelphiaPA0$218.00$54.50
St Christophers Hospital For ChildrPhiladelphiaPA0$1,122.00$561.00
Holy Spirit HospitalCamp HillPA0$56.00$13.38
Phoenixville HospitalPhoenixvillePA0$218.00$54.50
Pennsylvania Psychiatric InstituteHarrisburgPA0$56.00$9.61

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.