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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in PA

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Hospitals
53
Min
$61.60
Median
$130.44
Max
$448.98
Range multiplier
7.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna28233$13.30$134.64$510.2138.4×
Blue Cross Blue Shield26193$17.00$96.92$511.7430.1×
Cigna2396$17.85$151.60$510.2128.6×
UnitedHealthcare2681$18.19$106.02$561.2330.9×
Multiplan1179$66.30$226.98$816.3312.3×
upmc health plan2466$17.34$63.16$317.1018.3×
intergroup1456$76.50$302.83$3,704.0048.4×
First Health1343$77.66$278.60$663.278.5×
geisinger1742$27.80$75.40$365.1513.1×
pa health & wellness2033$18.36$92.45$136.997.5×
amerihealth caritas2130$31.22$84.69$130.014.2×
private health care systems1427$161.97$340.80$816.335.0×
Humana922$67.31$362.25$549.958.2×
america's choice422$76.50$200.70$490.506.4×
wirerope works422$47.26$123.99$303.026.4×
upmc work partners2020$126.65$134.87$141.061.1×
health partners plans (jefferson health plan)1115$30.16$81.81$81.812.7×
Medicaid314$52.32$97.11$168.373.2×
keystone first513$66.73$132.67$167.402.5×
preferred healthcare system612$192.00$192.00$305.601.6×
health payors organization310$338.40$362.10$367.201.1×
three rivers provider network39$139.50$149.01$490.503.5×
fidelis28$306.00$319.50$324.001.1×
selectcare48$296.00$342.30$517.601.7×
health partners plans36$52.32$52.32$52.321.0×
health coalition partners46$337.68$342.30$394.801.2×
Oscar Health35$37.06$74.80$74.802.0×
prime health services35$65.40$132.00$132.002.0×
galaxy health plan14$190.40$276.40$362.401.9×
innovage24$54.50$82.25$110.002.0×
occunet24$76.30$115.15$154.002.0×
ibc24$84.64$84.64$84.641.0×
national provider network24$308.32$402.32$496.321.6×
abington pro ibc13$73.85$79.12$92.201.2×
Anthem BCBS13$192.32$219.40$257.181.3×
gateway health plan33$65.10$92.49$92.491.4×
pennsylvania health and wellness33$121.11$121.11$121.111.0×
qualcare23$272.80$272.80$561.232.1×
univera13$57.90$127.38$169.842.9×
independent health12$206.88$213.75$220.611.1×
prime net12$462.48$462.48$462.481.0×
jup health partners chip12$54.25$73.55$92.841.7×
pa health_wellness chc22$78.00$78.00$78.001.0×
jab health partners11$52.32$52.32$52.321.0×
pa health and wellness inc11$65.10$65.10$65.101.0×
upmc medical assistance11$278.57$278.57$278.571.0×
intergroup service corp11$192.00$192.00$192.001.0×
health plan of upper ohio valley11$183.88$183.88$183.881.0×
bravo11$131.60$131.60$131.601.0×
health partners11$192.35$192.35$192.351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA5$247.20$52.32$97.11$167.40
American Oncologic HospialPhiladelphiaPA10$440.00$52.32$92.84$272.80
WellsboroWellsboroPA14$545.00$327.00$15.30$92.45$517.75
Aria HealthPhiladelphiaPA12$438.00$52.32$84.13$238.47
Altoona Regional Health SystemAltoonaPA12$384.00$230.40$20.00$81.81$307.20
The Childrens Home Of PittsburghPittsburghPA12$384.00$230.40$20.00$81.81$307.20
Upmc Childrens Hospital Of PghPittsburghPA12$384.00$230.40$20.00$81.81$307.20
Upmc Magee-Womens HospitalPittsburghPA12$384.00$230.40$20.00$81.81$307.20
Temple University HospitalPhiladelphiaPA16$440.00$13.30$66.00$154.00
Jeanes HospitalPhiladelphiaPA14$440.00$13.30$61.60$164.56
The Childrens Hospital Of PhiladelpPhiladelphiaPA17$1,020.41$1,020.41$168.37$448.98$918.37
Upmc ShadysidePittsburghPA19$426.00$255.60$36.08$298.20$511.74
Upmc Northwest HospitalSenecaPA13$469.00$281.40$36.08$281.40$3,704.00
Upmc MckeesportMckeesportPA13$647.00$388.20$36.08$249.09$549.95
Upmc - Presbyterian ShadysidePittsburghPA5$432.00$259.20$94.97$244.80$367.20
Upmc Bedford Memorial HospitalEverettPA17$382.00$229.20$36.08$240.09$343.80
Upmc Horizon HospitalGreenvillePA17$564.00$338.40$36.08$225.60$479.40
Upmc East HospitalMonroevillePA13$550.00$330.00$36.08$214.50$470.51
Upmc PassavantPittsburghPA14$398.00$238.80$36.08$169.32$448.71
Upmc Mercy HospitalPittsburghPA16$376.00$225.60$36.08$157.92$338.40
Upmc HamotEriePA14$386.00$231.60$57.90$154.40$334.78
Upmc St MargaretPittsburghPA12$370.00$222.00$36.08$140.60$470.51
Charles Cole Memorial HospitalCoudersportPA14$453.00$271.80$56.06$136.99$371.46
Upmc JamesonNew CastlePA12$564.00$338.40$25.29$130.44$496.32
Williamsport Hospital & Medical CtrWilliamsportPA15$545.00$327.00$41.85$124.00$490.50
Divine Providence HospitalWilliamsportPA15$545.00$327.00$41.85$124.00$490.50
Lock Haven HospitalLock HavenPA15$545.00$327.00$41.85$124.00$490.50
Curahealth Heritage ValleyBeaverPA7$256.00$69.12$54.25$108.03$256.00
Latrobe Area HospitalLatrobePA0$280.00$168.00
Presbyterian Medical CenterPhiladelphiaPA0$405.00$405.00
Physicians Care Surgical HospitalRoyersfordPA0$250.00
Meyersdale Community HospitalMeyersdalePA0$303.00$121.20
Miners HospitalHastingsPA0$286.00$114.40
Lifecare Hospitals Of Chester CountyWest ChesterPA0$342.00$342.00
Allied Services Rehab HospitalScrantonPA0$277.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$277.00
Penn State Hershey Rehabilitation LlHummelstownPA0$115.00$29.91
Chestnut Hill HospitalPhiladelphiaPA0$359.00$89.75
Holy Spirit HospitalCamp HillPA0$349.00$83.38
Pennsylvania Psychiatric InstituteHarrisburgPA0$349.00$59.89
Clarion HospitalClarionPA0$265.00$148.40
St. Joseph Medical CenterReadingPA0$115.00$29.91
Windber Hospital Inc.WindberPA0$205.00$174.25
Pottstown Memorial Medical CenterPottstownPA0$347.00$86.75
Phoenixville HospitalPhoenixvillePA0$359.00$89.75
Miners HospitalHastingsPA0$286.00$114.40
Westmoreland Regional HospitalGreensburgPA0$280.00$168.00
Butler Memorial HospitalButlerPA0$265.00$185.50
Reading Hospital And Medical CenterReadingPA0$347.00$242.90
The Chester County HospitalWest ChesterPA0$342.00$342.00
Uniontown HospitalUniontownPA0$683.00$341.50
Doylestown HospitalDoylestownPA0$359.00$359.00
Frick HospitalMount PleasantPA0$280.00$168.00

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.