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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
52
Min
$61.6
Median
$124
Max
$448.98
Range multiplier
7.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27230$13.3$137.83$510.2138.4×
Blue Cross Blue Shield25185$17$96.01$510.2130.0×
Cigna2396$17.85$151.6$510.2128.6×
UnitedHealthcare2580$18.19$106.02$561.2330.9×
Multiplan1076$66.3$226.98$816.3312.3×
upmc health plan2365$17.34$66.64$317.118.3×
intergroup1352$76.5$287.9$3,70448.4×
First Health1241$77.66$273.05$663.278.5×
geisinger1641$27.8$75.4$365.1513.1×
pa health & wellness1932$18.36$92.45$136.997.5×
amerihealth caritas2029$31.22$84.69$130.014.2×
private health care systems1325$161.97$338.3$816.335.0×
america's choice422$76.5$200.7$490.56.4×
wirerope works422$47.26$123.99$303.026.4×
Humana820$67.31$362.4$549.958.2×
upmc work partners1919$126.65$130.44$141.061.1×
health partners plans (jefferson health plan)1014$30.16$81.81$81.812.7×
Medicaid314$52.32$97.11$168.373.2×
keystone first513$66.73$132.67$167.42.5×
preferred healthcare system510$192$192$305.61.6×
three rivers provider network39$139.5$149.01$490.53.5×
health payors organization28$338.4$354.45$367.21.1×
health partners plans36$52.32$52.32$52.321.0×
fidelis16$306$319.5$3241.1×
selectcare36$296$343.8$517.61.7×
prime health services35$65.4$132$1322.0×
Oscar Health35$37.06$74.8$74.82.0×
national provider network24$308.32$402.32$496.321.6×
ibc24$84.64$84.64$84.641.0×
innovage24$54.5$82.25$1102.0×
health coalition partners34$337.68$343.8$394.81.2×
galaxy health plan14$190.4$276.4$362.41.9×
occunet24$76.3$115.15$1542.0×
abington pro ibc13$73.85$79.12$92.21.2×
Anthem BCBS13$192.32$219.4$257.181.3×
gateway health plan33$65.1$92.49$92.491.4×
pennsylvania health and wellness33$121.11$121.11$121.111.0×
qualcare23$272.8$272.8$561.232.1×
univera13$57.9$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$78$781.0×
jab health partners11$52.32$52.32$52.321.0×
pa health and wellness inc11$65.1$65.1$65.11.0×
upmc medical assistance11$278.57$278.57$278.571.0×
intergroup service corp11$192$192$1921.0×
health plan of upper ohio valley11$183.88$183.88$183.881.0×
bravo11$131.6$131.6$131.61.0×
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$247.2$52.32$97.11$167.4
AMERICAN ONCOLOGIC HOSPIALPHILADELPHIAPA10$440$52.32$92.84$272.8
WELLSBOROWELLSBOROPA14$545$327$15.3$92.45$517.75
ARIA HEALTHPHILADELPHIAPA12$438$52.32$84.13$238.47
UPMC MAGEE-WOMENS HOSPITALPITTSBURGHPA12$384$230.4$20$81.81$307.2
THE CHILDRENS HOME OF PITTSBURGHPITTSBURGHPA12$384$230.4$20$81.81$307.2
ALTOONA REGIONAL HEALTH SYSTEMALTOONAPA12$384$230.4$20$81.81$307.2
UPMC CHILDRENS HOSPITAL OF PGHPITTSBURGHPA12$384$230.4$20$81.81$307.2
TEMPLE UNIVERSITY HOSPITALPHILADELPHIAPA16$440$13.3$66$154
JEANES HOSPITALPHILADELPHIAPA14$440$13.3$61.6$164.56
THE CHILDRENS HOSPITAL OF PHILADELPPHILADELPHIAPA17$1,020.41$1,020.41$168.37$448.98$918.37
UPMC NORTHWEST HOSPITALSENECAPA13$469$281.4$36.08$281.4$3,704
UPMC MCKEESPORTMCKEESPORTPA13$647$388.2$36.08$249.09$549.95
UPMC - PRESBYTERIAN SHADYSIDEPITTSBURGHPA5$432$259.2$94.97$244.8$367.2
UPMC BEDFORD MEMORIAL HOSPITALEVERETTPA17$382$229.2$36.08$240.09$343.8
UPMC HORIZON HOSPITALGREENVILLEPA17$564$338.4$36.08$225.6$479.4
UPMC EAST HOSPITALMONROEVILLEPA13$550$330$36.08$214.5$470.51
UPMC PASSAVANTPITTSBURGHPA14$398$238.8$36.08$169.32$448.71
UPMC MERCY HOSPITALPITTSBURGHPA16$376$225.6$36.08$157.92$338.4
UPMC HAMOTERIEPA14$386$231.6$57.9$154.4$334.78
UPMC ST MARGARETPITTSBURGHPA12$370$222$36.08$140.6$470.51
CHARLES COLE MEMORIAL HOSPITALCOUDERSPORTPA14$453$271.8$56.06$136.99$371.46
UPMC JAMESONNEW CASTLEPA12$564$338.4$25.29$130.44$496.32
WILLIAMSPORT HOSPITAL & MEDICAL CTRWILLIAMSPORTPA15$545$327$41.85$124$490.5
LOCK HAVEN HOSPITALLOCK HAVENPA15$545$327$41.85$124$490.5
DIVINE PROVIDENCE HOSPITALWILLIAMSPORTPA15$545$327$41.85$124$490.5
CURAHEALTH HERITAGE VALLEYBEAVERPA7$256$69.12$54.25$108.03$256
LATROBE AREA HOSPITALLATROBEPA0$280$168
PRESBYTERIAN MEDICAL CENTERPHILADELPHIAPA0$405$405
PHYSICIANS CARE SURGICAL HOSPITALROYERSFORDPA0$250
MEYERSDALE COMMUNITY HOSPITALMEYERSDALEPA0$303$121.2
MINERS HOSPITALHASTINGSPA0$286$114.4
LIFECARE HOSPITALS OF CHESTER COUNTYWEST CHESTERPA0$342$342
ALLIED SERVICES REHAB HOSPITALSCRANTONPA0$277
JOHN HEINZ INSTIT. OF REHAB MEDICINEWILKES-BARREPA0$277
PENN STATE HERSHEY REHABILITATION LLHUMMELSTOWNPA0$115$29.91
CHESTNUT HILL HOSPITALPHILADELPHIAPA0$359$89.75
HOLY SPIRIT HOSPITALCAMP HILLPA0$349$83.38
CLARION HOSPITALCLARIONPA0$265$148.4
PENNSYLVANIA PSYCHIATRIC INSTITUTEHARRISBURGPA0$349$59.89
ST. JOSEPH MEDICAL CENTERREADINGPA0$115$29.91
WINDBER HOSPITAL INC.WINDBERPA0$205$174.25
POTTSTOWN MEMORIAL MEDICAL CENTERPOTTSTOWNPA0$347$86.75
PHOENIXVILLE HOSPITALPHOENIXVILLEPA0$359$89.75
MINERS HOSPITALHASTINGSPA0$286$114.4
WESTMORELAND REGIONAL HOSPITALGREENSBURGPA0$280$168
BUTLER MEMORIAL HOSPITALBUTLERPA0$265$185.5
READING HOSPITAL AND MEDICAL CENTERREADINGPA0$347$242.9
THE CHESTER COUNTY HOSPITALWEST CHESTERPA0$342$342
UNIONTOWN HOSPITALUNIONTOWNPA0$683$341.5
DOYLESTOWN HOSPITALDOYLESTOWNPA0$359$359
FRICK HOSPITALMOUNT PLEASANTPA0$280$168

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.