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CPT 90839 · negotiated-rate distribution across hospitals in PA

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Hospitals
15
Min
$110.42
Median
$247.69
Max
$388.85
Range multiplier
3.5×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield439$182.35$302.32$732.294.0×
Aetna417$176.75$247.45$526.703.0×
keystone first39$169.17$222.47$238.481.4×
UnitedHealthcare48$186.56$489.50$665.723.6×
Cigna47$220.64$424.20$500.002.3×
pennsylvania health and wellness36$187.18$205.22$266.091.4×
upmc health plan36$199.62$356.90$489.502.5×
geisinger24$205.22$370.17$535.122.6×
clover health33$193.29$197.75$197.751.0×
health partners plans33$186.00$190.29$190.291.0×
prime health services33$290.26$296.97$296.971.0×
Humana33$182.35$186.56$186.561.0×
ibc13$132.90$132.90$132.901.0×
innovage33$190.29$190.29$220.641.2×
Oscar Health33$273.52$279.84$279.841.0×
elder health33$218.82$223.87$223.871.0×
wtc health program22$233.20$238.17$243.131.0×
fidelis12$530.25$530.25$530.251.0×
gateway health plan22$233.20$233.20$233.201.0×
health payors organization12$600.95$600.95$600.951.0×
naphcare22$279.84$279.84$279.841.0×
occunet22$279.84$279.84$279.841.0×
qualcare12$1,213.96$1,213.96$1,213.961.0×
abington pro ibc12$108.16$109.29$110.421.0×
magellan health11$106.04$106.04$106.041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc - Presbyterian ShadysidePittsburghPA5$707.00$424.20$176.75$388.85$600.95
Temple University HospitalPhiladelphiaPA20$1,958.00$106.04$272.97$665.72
American Oncologic HospialPhiladelphiaPA16$1,958.00$169.17$247.69$1,213.96
Jeanes HospitalPhiladelphiaPA18$1,958.00$186.56$246.09$732.29
Thomas Jefferson Univ. HospitalPhiladelphiaPA1$158.00$209.70$132.90$132.90$132.90
Aria HealthPhiladelphiaPA2$158.00$200.31$108.16$110.42$247.03
Pennsylvania Hospital Of UphsPhiladelphiaPA0$126.00$126.00
Milton S. Hershey Medical CenterHersheyPA0$1,044.00$345.88
Holy Spirit HospitalCamp HillPA0$1,420.00$339.24
Pennsylvania Psychiatric InstituteHarrisburgPA0$1,420.00$243.67
Reading Hospital And Medical CenterReadingPA0$440.00$308.00
Clarion HospitalClarionPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0$126.00$126.00
Westmoreland Regional HospitalGreensburgPA0$300.00$180.00
Butler Memorial HospitalButlerPA0

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.