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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in PA

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Hospitals
59
Min
$8.72
Median
$37.41
Max
$571.90
Range multiplier
65.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27177$2.91$50.92$314.13107.9×
Blue Cross Blue Shield27171$5.25$20.34$184.0735.1×
upmc health plan25101$6.73$8.80$158.7023.6×
Cigna27100$8.07$51.60$249.3430.9×
UnitedHealthcare2799$4.84$10.24$309.4063.9×
Multiplan1154$8.82$283.92$653.6074.1×
intergroup1550$52.00$199.20$3,704.0071.2×
pa health & wellness2145$8.72$13.63$2,315.52265.5×
amerihealth caritas2244$8.00$9.02$2,208.32276.0×
geisinger2139$8.07$11.12$243.8830.2×
First Health1338$52.80$192.56$571.9010.8×
Humana1430$8.07$88.20$694.4586.1×
private health care systems1330$9.28$137.60$653.6070.4×
upmc work partners2121$7.98$7.98$7.981.0×
preferred healthcare system614$78.40$86.00$531.056.8×
keystone first513$8.47$16.86$22.322.6×
wirerope works512$183.48$202.38$202.381.1×
america's choice512$291.20$291.20$327.601.1×
health partners plans (jefferson health plan)1111$8.00$8.00$12.061.5×
selectcare410$88.20$231.20$653.607.4×
Medicare210$5.65$8.15$8.471.5×
three rivers provider network48$8.54$168.07$327.6038.4×
health coalition partners48$56.00$341.56$653.6011.7×
Medicaid27$8.80$14.32$15.951.8×
pennsylvania health and wellness36$8.88$13.37$17.862.0×
ibc26$7.28$19.00$38.515.3×
health payors organization26$120.60$617.95$694.455.8×
fidelis25$8.07$545.25$612.7575.9×
naphcare45$12.11$12.91$15.331.3×
Medicare Advantage24$8.47$8.88$9.281.1×
gateway health plan34$8.07$9.85$10.091.3×
health plan of upper ohio valley14$8.07$97.13$196.8124.4×
national provider network24$80.08$94.98$109.881.4×
innovage44$8.07$8.23$9.761.2×
va_champus_tricare23$8.07$8.07$8.071.0×
Anthem BCBS13$27.28$31.12$36.481.3×
prime health services33$12.85$12.85$12.851.0×
Oscar Health33$12.11$12.11$12.111.0×
occunet33$8.07$12.11$12.111.5×
health partners plans33$8.23$8.23$8.231.0×
ibc employee benefit23$10.09$10.09$10.091.0×
Ambetter23$11.70$11.70$11.701.0×
allwell pa health_wellness ma23$8.88$8.88$8.881.0×
univera13$15.60$34.32$45.762.9×
elder health33$9.68$9.68$9.681.0×
devoted health participation23$8.07$8.47$8.471.0×
clover health33$8.55$8.55$8.551.0×
point of comfort refugee resettlement23$8.07$8.07$8.071.0×
optum va ccn22$8.07$8.07$8.071.0×
galaxy health plan12$76.80$76.80$76.801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$101.00$9.28$5.65$9.28$56.49
Upmc JamesonNew CastlePA13$91.00$54.60$7.98$9.04$80.08
Aria HealthPhiladelphiaPA36$36.00$9.28$4.84$8.72$32.89
Upmc St MargaretPittsburghPA12$289.00$173.40$6.97$77.31$245.65
Upmc East HospitalMonroevillePA13$197.00$118.20$7.98$66.98$157.60
Upmc ShadysidePittsburghPA20$817.00$490.20$7.98$571.90$694.45
Upmc Northwest HospitalSenecaPA14$141.00$84.60$7.32$56.40$3,704.00
Upmc Bedford Memorial HospitalEverettPA17$98.00$58.80$2.91$53.24$88.20
Upmc Mercy HospitalPittsburghPA17$134.00$80.40$6.73$48.05$120.60
Upmc MckeesportMckeesportPA14$124.00$74.40$7.48$47.74$105.40
Charles Cole Memorial HospitalCoudersportPA14$96.00$57.60$5.25$37.41$76.80
Upmc Horizon HospitalGreenvillePA17$80.00$48.00$7.23$31.16$68.00
WellsboroWellsboroPA14$364.00$264.00$7.98$242.09$345.80
Upmc HamotEriePA16$104.00$62.40$7.98$20.15$83.20
Muncy Valley HospitalMuncyPA15$364.00$218.40$7.98$187.10$2,315.52
American Oncologic HospialPhiladelphiaPA16$151.00$8.07$16.86$93.62
Williamsport Hospital & Medical CtrWilliamsportPA15$364.00$218.40$7.98$157.32$327.60
Lock Haven HospitalLock HavenPA15$364.00$218.40$7.98$157.32$327.60
Divine Providence HospitalWilliamsportPA15$364.00$218.40$7.98$157.32$327.60
Upmc PassavantPittsburghPA14$426.00$255.60$7.50$149.22$396.18
Temple University HospitalPhiladelphiaPA20$642.00$8.00$12.11$218.28
Jeanes HospitalPhiladelphiaPA18$642.00$8.07$12.11$218.28
Upmc Childrens Hospital Of PghPittsburghPA12$172.00$103.20$7.98$11.86$137.60
The Childrens Home Of PittsburghPittsburghPA12$172.00$103.20$7.98$11.86$137.60
Altoona Regional Health SystemAltoonaPA12$172.00$103.20$7.98$11.86$137.60
Upmc Magee-Womens HospitalPittsburghPA12$172.00$103.20$7.98$11.86$137.60
Curahealth Heritage ValleyBeaverPA9$44.00$11.88$8.00$10.40$36.37
Lifecare Hospitals Of Chester CountyWest ChesterPA0$130.00$130.00
Allied Services Rehab HospitalScrantonPA0$36.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$36.00
Penn State Hershey Rehabilitation LlHummelstownPA0$52.00$13.53
St Christophers Hospital For ChildrPhiladelphiaPA0$61.00$30.50
Pennsylvania Psychiatric InstituteHarrisburgPA0$52.00$8.92
Holy Spirit HospitalCamp HillPA0$52.00$12.42
Chestnut Hill HospitalPhiladelphiaPA0$113.00$28.25
Uniontown HospitalUniontownPA0$148.00$74.00
Reading Hospital And Medical CenterReadingPA0$113.00$79.10
Clarion HospitalClarionPA0$78.00$43.68
St. Joseph Medical CenterReadingPA0$52.00$13.53
Hospital Of The Univ Of PennaPhiladelphiaPA0$286.00$286.00
Windber Hospital Inc.WindberPA0$58.00$49.30
Pottstown Memorial Medical CenterPottstownPA0$153.00$38.25
Wayne Memorial HospitalHonesdalePA0$199.00$139.30
Phoenixville HospitalPhoenixvillePA0$113.00$28.25
Miners HospitalHastingsPA0$62.00$24.80
Westmoreland Regional HospitalGreensburgPA0$40.00$24.00
Armstrong County MemorialKittanningPA0$94.00$28.20
Butler Memorial HospitalButlerPA0$78.00$54.60
The Chester County HospitalWest ChesterPA0$130.00$130.00
Doylestown HospitalDoylestownPA0$229.00$229.00
Frick HospitalMount PleasantPA0$40.00$24.00
Latrobe Area HospitalLatrobePA0$40.00$24.00
Presbyterian Medical CenterPhiladelphiaPA0$238.00$238.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$286.00$286.00
Milton S. Hershey Medical CenterHersheyPA0$52.00$17.23
Physicians Care Surgical HospitalRoyersfordPA0$151.00
Hampden Medical CenterEnolaPA0$52.00$16.36
Meyersdale Community HospitalMeyersdalePA0$73.00$29.20
Miners HospitalHastingsPA0$62.00$24.80

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.