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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in PA

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Hospitals
54
Min
$42.91
Median
$100.71
Max
$233.80
Range multiplier
5.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27207$8.91$99.60$360.7340.5×
Blue Cross Blue Shield25182$14.02$74.31$397.1528.3×
Cigna2286$15.33$120.00$301.2019.6×
UnitedHealthcare2573$15.62$68.00$355.3022.7×
Multiplan1066$56.94$224.10$397.107.0×
upmc health plan2464$14.89$46.50$238.4516.0×
intergroup1450$65.70$240.00$3,704.0056.4×
geisinger1739$27.80$55.60$280.0610.1×
pa health & wellness2033$15.77$60.21$92.235.8×
First Health1230$109.56$252.00$351.403.2×
amerihealth caritas2130$31.22$55.15$87.532.8×
private health care systems1326$127.96$276.00$401.603.1×
Humana922$49.49$284.24$426.708.6×
upmc work partners2020$100.71$105.38$115.701.1×
wirerope works416$40.59$188.21$232.415.7×
Medicaid216$35.33$71.60$107.403.0×
america's choice416$65.70$283.75$376.205.7×
keystone first515$49.20$86.40$167.403.4×
health partners plans (jefferson health plan)1115$30.16$53.28$60.322.0×
preferred healthcare system612$172.50$172.50$288.001.7×
health payors organization38$224.10$268.18$283.901.3×
health partners plans38$39.67$39.67$1,670.0042.1×
selectcare48$189.60$295.60$401.602.1×
ibc27$48.86$48.86$48.861.0×
three rivers provider network36$117.72$246.96$376.203.2×
fidelis26$222.75$250.50$250.501.1×
health coalition partners46$259.20$285.50$324.001.3×
Oscar Health35$24.82$52.70$52.702.1×
prime health services35$43.80$93.00$93.002.1×
innovage24$36.50$57.00$77.502.1×
national provider network24$204.18$293.05$381.921.9×
occunet24$51.10$79.80$108.502.1×
jup health partners chip14$35.33$48.28$65.681.9×
galaxy health plan14$140.00$192.00$244.001.7×
gateway health plan33$48.00$53.01$53.011.1×
pennsylvania health and wellness33$78.87$78.87$78.871.0×
univera13$45.00$99.00$132.002.9×
Anthem BCBS13$147.99$168.83$197.901.3×
Medicare13$40.59$45.59$54.131.3×
abington pro ibc13$43.66$46.78$51.371.2×
jup geisinger commercial13$73.05$81.86$96.371.3×
jup pa health_wellness12$45.93$48.96$52.001.1×
independent health12$206.88$213.75$220.611.1×
qualcare12$192.20$192.20$192.201.0×
pa health_wellness chc22$78.00$78.00$78.001.0×
prime net12$355.88$355.88$355.881.0×
american healthcare group11$199.20$199.20$199.201.0×
jab health partners11$39.67$39.67$39.671.0×
health plan of upper ohio valley11$141.37$141.37$141.371.0×
pa health and wellness inc11$48.00$48.00$48.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Charles Cole Memorial HospitalCoudersportPA14$305.00$183.00$37.10$93.03$250.10
Upmc St MargaretPittsburghPA12$237.00$142.20$36.08$90.06$365.15
Curahealth Heritage ValleyBeaverPA7$211.00$56.97$40.00$89.04$211.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA5$206.00$39.67$79.59$167.40
WellsboroWellsboroPA14$418.00$250.80$13.14$72.00$397.10
American Oncologic HospialPhiladelphiaPA10$310.00$39.22$65.72$1,670.00
Upmc Childrens Hospital Of PghPittsburghPA12$345.00$207.00$20.00$60.32$276.00
The Childrens Home Of PittsburghPittsburghPA12$345.00$207.00$20.00$60.32$276.00
Upmc Magee-Womens HospitalPittsburghPA12$345.00$207.00$20.00$60.32$276.00
Altoona Regional Health SystemAltoonaPA12$345.00$207.00$20.00$60.32$276.00
Aria HealthPhiladelphiaPA12$327.00$35.33$56.55$200.00
Temple University HospitalPhiladelphiaPA15$310.00$8.91$46.50$108.50
Jeanes HospitalPhiladelphiaPA14$310.00$8.91$42.91$115.94
Upmc ShadysidePittsburghPA19$334.00$200.40$36.08$233.80$397.15
Divine Providence HospitalWilliamsportPA15$418.00$250.80$38.86$226.77$376.20
Williamsport Hospital & Medical CtrWilliamsportPA15$418.00$250.80$38.86$226.77$376.20
Lock Haven HospitalLock HavenPA15$418.00$250.80$38.86$226.77$376.20
Upmc Bedford Memorial HospitalEverettPA17$360.00$216.00$36.08$226.26$324.00
Upmc Northwest HospitalSenecaPA13$360.00$216.00$36.08$216.00$3,704.00
Upmc MckeesportMckeesportPA13$502.00$301.20$36.08$193.27$426.70
Upmc - Presbyterian ShadysidePittsburghPA5$334.00$200.40$73.52$178.20$283.90
Upmc Horizon HospitalGreenvillePA17$434.00$260.40$36.08$173.60$368.90
Upmc East HospitalMonroevillePA13$426.00$255.60$36.08$166.14$365.15
Upmc PassavantPittsburghPA14$306.00$183.60$36.08$131.41$348.23
Upmc HamotEriePA14$300.00$180.00$38.86$120.00$259.81
Upmc Mercy HospitalPittsburghPA16$249.00$149.40$36.08$109.56$238.45
Upmc JamesonNew CastlePA12$434.00$260.40$19.81$100.71$381.92
Butler Memorial HospitalButlerPA0$228.00$159.60
Clarion HospitalClarionPA0$228.00$127.68
The Chester County HospitalWest ChesterPA0$342.00$342.00
Doylestown HospitalDoylestownPA0$450.00$450.00
Frick HospitalMount PleasantPA0$270.00$162.00
Latrobe Area HospitalLatrobePA0$270.00$162.00
Presbyterian Medical CenterPhiladelphiaPA0$856.00$856.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$767.00$767.00
Physicians Care Surgical HospitalRoyersfordPA0$174.00
Meyersdale Community HospitalMeyersdalePA0$251.00$100.40
Reading Hospital And Medical CenterReadingPA0$264.00$184.80
Uniontown HospitalUniontownPA0$436.00$218.00
Miners HospitalHastingsPA0$238.00$95.20
Lifecare Hospitals Of Chester CountyWest ChesterPA0$342.00$342.00
Allied Services Rehab HospitalScrantonPA0$184.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$184.00
Penn State Hershey Rehabilitation LlHummelstownPA0$115.00$29.91
Chestnut Hill HospitalPhiladelphiaPA0$316.00$79.00
Holy Spirit HospitalCamp HillPA0$250.00$59.73
Windber Hospital Inc.WindberPA0$166.00$141.10
Pennsylvania Psychiatric InstituteHarrisburgPA0$250.00$42.90
Hospital Of The Univ Of PennaPhiladelphiaPA0$767.00$767.00
St. Joseph Medical CenterReadingPA0$115.00$29.91
Pottstown Memorial Medical CenterPottstownPA0$264.00$66.00
Phoenixville HospitalPhoenixvillePA0$316.00$79.00
Miners HospitalHastingsPA0$238.00$95.20
Westmoreland Regional HospitalGreensburgPA0$270.00$162.00

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.