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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
53
Min
$42.91
Median
$100.71
Max
$226.77
Range multiplier
5.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26204$8.91$103.66$360.7340.5×
Blue Cross Blue Shield24174$14.02$74.31$365.1526.0×
Cigna2286$15.33$120$301.219.6×
UnitedHealthcare2472$15.62$76.7$355.322.7×
Multiplan963$56.94$224.1$397.17.0×
upmc health plan2363$14.89$49$238.4516.0×
intergroup1346$65.7$234$3,70456.4×
geisinger1638$27.8$55.6$280.0610.1×
pa health & wellness1932$15.77$60.21$92.235.8×
amerihealth caritas2029$31.22$55.15$87.532.8×
First Health1128$109.56$252$351.43.2×
private health care systems1224$127.96$276$401.63.1×
Humana820$49.49$295.29$426.78.6×
upmc work partners1919$100.71$100.71$115.71.1×
Medicaid216$35.33$71.6$107.43.0×
america's choice416$65.7$283.75$376.25.7×
wirerope works416$40.59$188.21$232.415.7×
keystone first515$49.2$86.4$167.43.4×
health partners plans (jefferson health plan)1014$30.16$53.28$60.322.0×
preferred healthcare system510$172.5$172.5$2881.7×
health partners plans38$39.67$39.67$1,67042.1×
ibc27$48.86$48.86$48.861.0×
selectcare36$189.6$324$401.62.1×
health payors organization26$224.1$252.45$283.91.3×
three rivers provider network36$117.72$246.96$376.23.2×
Oscar Health35$24.82$52.7$52.72.1×
prime health services35$43.8$93$932.1×
jup health partners chip14$35.33$48.28$65.681.9×
galaxy health plan14$140$192$2441.7×
innovage24$36.5$57$77.52.1×
fidelis14$222.75$236.63$250.51.1×
occunet24$51.1$79.8$108.52.1×
national provider network24$204.18$293.05$381.921.9×
health coalition partners34$259.2$313.9$3241.3×
abington pro ibc13$43.66$46.78$51.371.2×
univera13$45$99$1322.9×
Anthem BCBS13$147.99$168.83$197.91.3×
Medicare13$40.59$45.59$54.131.3×
jup geisinger commercial13$73.05$81.86$96.371.3×
pennsylvania health and wellness33$78.87$78.87$78.871.0×
gateway health plan33$48$53.01$53.011.1×
pa health_wellness chc22$78$78$781.0×
prime net12$355.88$355.88$355.881.0×
independent health12$206.88$213.75$220.611.1×
qualcare12$192.2$192.2$192.21.0×
jup pa health_wellness12$45.93$48.96$521.1×
intergroup service corp11$158.25$158.25$158.251.0×
health plan of upper ohio valley11$141.37$141.37$141.371.0×
pa health and wellness inc11$48$48$481.0×
american healthcare group11$199.2$199.2$199.21.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHARLES COLE MEMORIAL HOSPITALCOUDERSPORTPA14$305$183$37.1$93.03$250.1
UPMC ST MARGARETPITTSBURGHPA12$237$142.2$36.08$90.06$365.15
CURAHEALTH HERITAGE VALLEYBEAVERPA7$211$56.97$40$89.04$211
THOMAS JEFFERSON UNIV. HOSPITALPHILADELPHIAPA5$206$39.67$79.59$167.4
WELLSBOROWELLSBOROPA14$418$250.8$13.14$72$397.1
AMERICAN ONCOLOGIC HOSPIALPHILADELPHIAPA10$310$39.22$65.72$1,670
UPMC MAGEE-WOMENS HOSPITALPITTSBURGHPA12$345$207$20$60.32$276
THE CHILDRENS HOME OF PITTSBURGHPITTSBURGHPA12$345$207$20$60.32$276
UPMC CHILDRENS HOSPITAL OF PGHPITTSBURGHPA12$345$207$20$60.32$276
ALTOONA REGIONAL HEALTH SYSTEMALTOONAPA12$345$207$20$60.32$276
ARIA HEALTHPHILADELPHIAPA12$327$35.33$56.55$200
TEMPLE UNIVERSITY HOSPITALPHILADELPHIAPA15$310$8.91$46.5$108.5
JEANES HOSPITALPHILADELPHIAPA14$310$8.91$42.91$115.94
WILLIAMSPORT HOSPITAL & MEDICAL CTRWILLIAMSPORTPA15$418$250.8$38.86$226.77$376.2
DIVINE PROVIDENCE HOSPITALWILLIAMSPORTPA15$418$250.8$38.86$226.77$376.2
LOCK HAVEN HOSPITALLOCK HAVENPA15$418$250.8$38.86$226.77$376.2
UPMC BEDFORD MEMORIAL HOSPITALEVERETTPA17$360$216$36.08$226.26$324
UPMC NORTHWEST HOSPITALSENECAPA13$360$216$36.08$216$3,704
UPMC MCKEESPORTMCKEESPORTPA13$502$301.2$36.08$193.27$426.7
UPMC - PRESBYTERIAN SHADYSIDEPITTSBURGHPA5$334$200.4$73.52$178.2$283.9
UPMC HORIZON HOSPITALGREENVILLEPA17$434$260.4$36.08$173.6$368.9
UPMC EAST HOSPITALMONROEVILLEPA13$426$255.6$36.08$166.14$365.15
UPMC PASSAVANTPITTSBURGHPA14$306$183.6$36.08$131.41$348.23
UPMC HAMOTERIEPA14$300$180$38.86$120$259.81
UPMC MERCY HOSPITALPITTSBURGHPA16$249$149.4$36.08$109.56$238.45
UPMC JAMESONNEW CASTLEPA12$434$260.4$19.81$100.71$381.92
BUTLER MEMORIAL HOSPITALBUTLERPA0$228$159.6
CLARION HOSPITALCLARIONPA0$228$127.68
THE CHESTER COUNTY HOSPITALWEST CHESTERPA0$342$342
DOYLESTOWN HOSPITALDOYLESTOWNPA0$450$450
FRICK HOSPITALMOUNT PLEASANTPA0$270$162
LATROBE AREA HOSPITALLATROBEPA0$270$162
PRESBYTERIAN MEDICAL CENTERPHILADELPHIAPA0$856$856
PENNSYLVANIA HOSPITAL OF UPHSPHILADELPHIAPA0$767$767
PHYSICIANS CARE SURGICAL HOSPITALROYERSFORDPA0$174
MEYERSDALE COMMUNITY HOSPITALMEYERSDALEPA0$251$100.4
READING HOSPITAL AND MEDICAL CENTERREADINGPA0$264$184.8
UNIONTOWN HOSPITALUNIONTOWNPA0$436$218
MINERS HOSPITALHASTINGSPA0$238$95.2
LIFECARE HOSPITALS OF CHESTER COUNTYWEST CHESTERPA0$342$342
ALLIED SERVICES REHAB HOSPITALSCRANTONPA0$184
JOHN HEINZ INSTIT. OF REHAB MEDICINEWILKES-BARREPA0$184
PENN STATE HERSHEY REHABILITATION LLHUMMELSTOWNPA0$115$29.91
CHESTNUT HILL HOSPITALPHILADELPHIAPA0$316$79
HOLY SPIRIT HOSPITALCAMP HILLPA0$250$59.73
WINDBER HOSPITAL INC.WINDBERPA0$166$141.1
PENNSYLVANIA PSYCHIATRIC INSTITUTEHARRISBURGPA0$250$42.9
HOSPITAL OF THE UNIV OF PENNAPHILADELPHIAPA0$767$767
ST. JOSEPH MEDICAL CENTERREADINGPA0$115$29.91
POTTSTOWN MEMORIAL MEDICAL CENTERPOTTSTOWNPA0$264$66
PHOENIXVILLE HOSPITALPHOENIXVILLEPA0$316$79
MINERS HOSPITALHASTINGSPA0$238$95.2
WESTMORELAND REGIONAL HOSPITALGREENSBURGPA0$270$162

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.