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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in PA

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Hospitals
39
Min
$6,968.40
Median
$10,355
Max
$39,332
Range multiplier
5.6×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18100$2,630.20$8,485.50$38,66114.7×
Aetna2099$562.82$9,840.25$31,28855.6×
Cigna1851$5,855.70$15,608$23,6374.0×
UnitedHealthcare1740$892.40$7,988.35$16,00817.9×
upmc health plan1833$1,008.80$8,960.22$18,45518.3×
Multiplan828$949.71$10,277$43,40145.7×
intergroup926$10,540$27,553$46,1134.4×
First Health822$6,600.68$8,866.77$37,9765.8×
geisinger1321$5,849.71$9,334.05$29,8385.1×
private health care systems918$999.69$21,549$43,40143.4×
pa health & wellness1314$7,246.25$9,895.33$24,5833.4×
upmc work partners1414$859.73$859.73$956.011.1×
health partners plans313$1,670.00$3,489.79$12,3777.4×
Humana711$11,860$33,486$46,1133.9×
keystone first411$1,849.31$2,607.01$14,4697.8×
preferred healthcare system510$8,485.50$8,485.50$35,2634.2×
pennsylvania health and wellness38$2,046.22$4,945.28$13,3476.5×
wirerope works36$7,325.30$7,325.30$7,325.301.0×
america's choice36$10,540$10,540$10,5401.0×
three rivers provider network36$919.71$6,388.61$11,85812.9×
ibc25$8,008.80$8,915.80$12,5931.6×
Medicaid24$530.09$1,005.36$3,489.796.6×
national provider network24$16,731$24,503$32,2761.9×
gateway health plan34$931.20$12,563$15,16716.3×
health payors organization24$35,425$40,769$46,1131.3×
selectcare24$31,516$37,458$43,4011.4×
clover health33$12,572$12,862$12,8621.0×
health plan of upper ohio valley13$10,812$10,812$20,3401.9×
innovage33$12,377$12,377$14,3511.2×
elder health33$14,232$14,561$14,5611.0×
Oscar Health33$17,790$18,201$18,2011.0×
prime health services33$18,879$19,315$19,3151.0×
univera13$6,704.55$14,750$19,6672.9×
health coalition partners12$43,401$43,401$43,4011.0×
qualcare12$13,270$13,270$13,2701.0×
wtc health program22$15,167$15,490$15,8131.0×
fidelis12$40,688$40,688$40,6881.0×
occunet22$18,201$18,201$18,2011.0×
naphcare22$18,201$18,201$18,2011.0×
american healthcare group11$31,489$31,489$31,4891.0×
intergroup service corp11$16,826$16,826$16,8261.0×
pa health_wellness chc11$1,008.80$1,008.80$1,008.801.0×
pa health and wellness inc11$931.20$931.20$931.201.0×
community care behavioral health11$9,985.60$9,985.60$9,985.601.0×
bravo11$13,776$13,776$13,7761.0×
jup pa health_wellness11$626.47$626.47$626.471.0×
amerihealth caritas11$11,677$11,677$11,6771.0×
upmc commercial11$12,668$12,668$12,6681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Curahealth Heritage ValleyBeaverPA9$22,435$6,057.45$776.00$9,985.60$19,383
Upmc JamesonNew CastlePA11$19,012$11,407$562.82$9,506.00$16,731
Altoona Regional Health SystemAltoonaPA10$16,971$10,183$859.73$8,960.22$13,577
The Childrens Home Of PittsburghPittsburghPA10$16,971$10,183$859.73$8,960.22$13,577
Upmc Childrens Hospital Of PghPittsburghPA10$16,971$10,183$859.73$8,960.22$13,577
Upmc Magee-Womens HospitalPittsburghPA10$16,971$10,183$859.73$8,960.22$13,577
Divine Providence HospitalWilliamsportPA14$13,175$7,905.00$859.73$8,695.50$11,858
Williamsport Hospital & Medical CtrWilliamsportPA14$13,175$7,905.00$859.73$8,695.50$11,858
Lock Haven HospitalLock HavenPA14$13,175$7,905.00$859.73$8,695.50$11,858
Aria HealthPhiladelphiaPA5$23,566$13,028$530.09$6,968.40$9,740.00
Upmc ShadysidePittsburghPA16$54,251$32,551$931.20$39,332$46,113
Upmc HamotEriePA11$44,697$26,818$859.73$17,879$35,758
Upmc MckeesportMckeesportPA11$39,395$23,637$619.10$15,758$33,486
Upmc Mercy HospitalPittsburghPA14$39,361$23,617$956.01$15,744$35,425
Upmc East HospitalMonroevillePA11$40,020$24,012$859.73$15,688$32,016
Upmc PassavantPittsburghPA14$44,026$26,416$859.73$13,002$40,944
Jeanes HospitalPhiladelphiaPA18$21,404$1,670.00$12,007$38,661
American Oncologic HospialPhiladelphiaPA16$21,404$1,849.31$11,860$32,690
Thomas Jefferson Univ. HospitalPhiladelphiaPA7$15,923$13,639$1,008.80$10,831$12,743
Temple University HospitalPhiladelphiaPA19$21,404$1,670.00$10,355$38,661
Doylestown HospitalDoylestownPA0$25,125$25,125
Presbyterian Medical CenterPhiladelphiaPA0$64,309$64,309
Pennsylvania Hospital Of UphsPhiladelphiaPA0$127,709$127,709
Milton S. Hershey Medical CenterHersheyPA0$73,714$24,421
Hampden Medical CenterEnolaPA0$73,714$23,198
Penn State Hershey Rehabilitation LlHummelstownPA0$73,714$19,173
Chestnut Hill HospitalPhiladelphiaPA0$29,846$7,461.50
Reading Hospital And Medical CenterReadingPA0$29,846$20,892
Holy Spirit HospitalCamp HillPA0$73,714$17,610
Uniontown HospitalUniontownPA0$13,782$6,891.00
Clarion HospitalClarionPA0
St. Joseph Medical CenterReadingPA0$73,714$19,173
Hospital Of The Univ Of PennaPhiladelphiaPA0$127,709$127,709
Windber Hospital Inc.WindberPA0$37,011$31,459
Wayne Memorial HospitalHonesdalePA0$29,220$20,454
Phoenixville HospitalPhoenixvillePA0$29,846$7,461.50
Westmoreland Regional HospitalGreensburgPA0$15,185$9,111.00
Armstrong County MemorialKittanningPA0$37,851$11,355
Butler Memorial HospitalButlerPA0$18,000$12,600

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.