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CPT 81003 · negotiated-rate distribution across hospitals in PA

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Hospitals
59
Min
$2.39
Median
$10.72
Max
$42.00
Range multiplier
17.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27207$2.25$19.28$100.0744.5×
Blue Cross Blue Shield27185$1.46$6.17$103.9771.2×
UnitedHealthcare27119$2.25$8.96$216.1396.1×
Cigna27102$2.25$21.12$53.4023.7×
upmc health plan25101$1.88$3.41$27.4714.6×
Multiplan1152$2.45$49.14$110.6745.2×
intergroup1546$18.85$47.60$3,704.00196.5×
pa health & wellness2145$2.43$5.28$2,315.52952.9×
amerihealth caritas2244$2.32$3.50$2,208.32951.9×
geisinger2143$2.25$4.31$101.6745.2×
First Health1336$20.30$42.40$83.304.1×
Humana1428$2.25$27.20$110.6749.2×
private health care systems1328$2.58$60.80$110.6742.9×
upmc work partners2121$2.22$2.22$2.221.0×
preferred healthcare system612$25.60$38.00$53.302.1×
america's choice512$50.40$50.40$56.701.1×
wirerope works512$31.83$35.03$35.031.1×
health partners plans (jefferson health plan)1111$3.10$3.10$4.671.5×
keystone first411$2.36$7.58$8.653.7×
Medicare210$1.58$2.27$2.361.5×
selectcare48$28.80$60.00$71.202.5×
qualcare18$24.80$150.04$230.649.3×
three rivers provider network48$2.37$29.54$56.7023.9×
national provider network26$14.96$36.08$47.563.2×
Medicare Advantage26$2.36$2.42$2.591.1×
pennsylvania health and wellness36$2.48$4.70$6.922.8×
health coalition partners46$20.88$47.20$70.003.4×
Medicaid25$3.41$5.55$6.181.8×
ibc25$1.90$6.55$10.075.3×
innovage55$2.25$2.29$2.721.2×
health payors organization24$52.20$60.95$69.701.3×
naphcare34$3.38$3.49$4.281.3×
gateway health plan34$2.25$2.81$3.721.7×
cbhnp44$4.37$4.37$4.371.0×
allwell pa health_wellness ma23$2.48$2.48$2.481.0×
fidelis23$2.25$61.50$61.5027.3×
elder health33$2.70$2.70$2.701.0×
devoted health participation23$2.25$2.36$2.361.0×
clover health33$2.38$2.38$2.381.0×
va_champus_tricare23$2.25$2.25$2.251.0×
point of comfort refugee resettlement23$2.25$2.25$2.251.0×
Anthem BCBS13$34.10$38.90$45.601.3×
prime health services33$3.58$3.58$3.581.0×
Oscar Health33$3.38$3.38$3.381.0×
health plan of upper ohio valley13$2.25$2.25$54.9824.4×
Ambetter23$3.26$3.26$3.261.0×
occunet33$2.25$3.38$3.381.5×
univera13$9.15$20.13$26.842.9×
health partners plans33$2.29$2.29$2.291.0×
jefferson health plan aca qhp exchange22$2.14$2.14$2.141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA16$372.00$2.25$8.63$230.64
Temple University HospitalPhiladelphiaPA20$372.00$2.25$7.58$126.48
Jeanes HospitalPhiladelphiaPA18$372.00$2.25$5.97$126.48
WellsboroWellsboroPA14$63.00$45.80$2.22$42.00$59.85
The Childrens Home Of PittsburghPittsburghPA13$76.00$45.60$2.22$4.49$60.80
Upmc Childrens Hospital Of PghPittsburghPA13$76.00$45.60$2.22$4.49$60.80
Upmc Magee-Womens HospitalPittsburghPA13$76.00$45.60$2.22$4.49$60.80
Altoona Regional Health SystemAltoonaPA13$76.00$45.60$2.22$4.49$60.80
Upmc JamesonNew CastlePA13$41.00$24.60$2.22$4.31$36.08
Upmc Horizon HospitalGreenvillePA17$100.00$60.00$2.01$38.55$85.00
Upmc MckeesportMckeesportPA14$89.00$53.40$2.09$33.55$75.65
Muncy Valley HospitalMuncyPA15$63.00$37.80$2.22$32.38$2,315.52
Curahealth Heritage ValleyBeaverPA9$21.00$5.67$2.23$3.28$17.71
Upmc ShadysidePittsburghPA20$82.00$49.20$2.22$27.48$69.70
Williamsport Hospital & Medical CtrWilliamsportPA15$63.00$37.80$2.22$27.23$56.70
Divine Providence HospitalWilliamsportPA15$63.00$37.80$2.22$27.23$56.70
Lock Haven HospitalLock HavenPA15$63.00$37.80$2.22$27.23$56.70
Upmc Mercy HospitalPittsburghPA17$58.00$34.80$1.88$20.01$52.20
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$33.00$2.59$1.58$2.59$15.75
Aria HealthPhiladelphiaPA29$10.00$2.59$2.14$2.39$9.17
Upmc Bedford Memorial HospitalEverettPA17$32.00$19.20$1.94$19.84$28.80
Upmc St MargaretPittsburghPA12$68.00$40.80$1.94$19.04$57.80
Upmc East HospitalMonroevillePA13$78.00$46.80$2.22$17.60$62.40
Upmc Northwest HospitalSenecaPA14$29.00$17.40$2.04$13.74$3,704.00
Upmc PassavantPittsburghPA14$119.00$71.40$2.09$10.72$110.67
Upmc HamotEriePA16$61.00$36.60$2.22$10.59$48.80
Charles Cole Memorial HospitalCoudersportPA14$32.00$19.20$1.46$10.43$53.00
Lifecare Hospitals Of Chester CountyWest ChesterPA0$35.00$35.00
Allied Services Rehab HospitalScrantonPA0$10.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$10.00
Penn State Hershey Rehabilitation LlHummelstownPA0$15.00$3.90
St Christophers Hospital For ChildrPhiladelphiaPA0$128.00$64.00
Pennsylvania Psychiatric InstituteHarrisburgPA0$15.00$2.57
Holy Spirit HospitalCamp HillPA0$15.00$3.58
Chestnut Hill HospitalPhiladelphiaPA0$66.00$16.50
Uniontown HospitalUniontownPA0$26.00$13.00
Reading Hospital And Medical CenterReadingPA0$66.00$46.20
Clarion HospitalClarionPA0$25.00$14.00
St. Joseph Medical CenterReadingPA0$15.00$3.90
Hospital Of The Univ Of PennaPhiladelphiaPA0$125.00$125.00
Windber Hospital Inc.WindberPA0$21.00$17.85
Pottstown Memorial Medical CenterPottstownPA0$54.00$13.50
Wayne Memorial HospitalHonesdalePA0$45.00$31.50
Phoenixville HospitalPhoenixvillePA0$66.00$16.50
Miners HospitalHastingsPA0$28.00$11.20
Westmoreland Regional HospitalGreensburgPA0$31.00$18.60
Armstrong County MemorialKittanningPA0$34.00$10.20
Butler Memorial HospitalButlerPA0$25.00$17.50
The Chester County HospitalWest ChesterPA0$35.00$35.00
Doylestown HospitalDoylestownPA0$150.00$150.00
Frick HospitalMount PleasantPA0$31.00$18.60
Latrobe Area HospitalLatrobePA0$31.00$18.60
Presbyterian Medical CenterPhiladelphiaPA0$119.00$119.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$125.00$125.00
Milton S. Hershey Medical CenterHersheyPA0$15.00$4.97
Physicians Care Surgical HospitalRoyersfordPA0$47.00
Hampden Medical CenterEnolaPA0$15.00$4.72
Meyersdale Community HospitalMeyersdalePA0$36.00$14.40
Miners HospitalHastingsPA0$28.00$11.20

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.