▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in PA
Hospitals
53
Min
$101.87
Median
$163.50
Max
$358.80
Range multiplier
3.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 27 | 247 | $20.00 | $181.44 | $605.83 | 30.3× |
| Blue Cross Blue Shield | 26 | 226 | $24.40 | $134.02 | $1,261.26 | 51.7× |
| Cigna | 22 | 98 | $25.62 | $184.86 | $510.00 | 19.9× |
| UnitedHealthcare | 25 | 89 | $21.00 | $138.42 | $596.70 | 28.4× |
| Multiplan | 10 | 84 | $95.16 | $352.07 | $666.90 | 7.0× |
| upmc health plan | 24 | 68 | $22.00 | $99.41 | $490.00 | 22.3× |
| intergroup | 14 | 58 | $109.80 | $396.00 | $3,704.00 | 33.7× |
| geisinger | 17 | 45 | $27.80 | $125.61 | $560.00 | 20.1× |
| First Health | 12 | 42 | $77.66 | $352.60 | $595.00 | 7.7× |
| pa health & wellness | 20 | 34 | $26.35 | $154.01 | $211.68 | 8.0× |
| amerihealth caritas | 21 | 30 | $31.22 | $141.08 | $200.90 | 6.4× |
| private health care systems | 13 | 26 | $254.99 | $430.18 | $680.00 | 2.7× |
| wirerope works | 4 | 24 | $67.83 | $228.24 | $390.31 | 5.8× |
| america's choice | 4 | 24 | $109.80 | $369.45 | $631.80 | 5.8× |
| Humana | 9 | 22 | $106.05 | $508.30 | $722.50 | 6.8× |
| upmc work partners | 20 | 20 | $193.76 | $208.03 | $235.33 | 1.2× |
| health partners plans (jefferson health plan) | 11 | 15 | $30.16 | $136.28 | $136.28 | 4.5× |
| Medicaid | 2 | 13 | $71.73 | $107.40 | $180.19 | 2.5× |
| keystone first | 5 | 13 | $73.80 | $190.44 | $252.13 | 3.4× |
| preferred healthcare system | 6 | 12 | $228.50 | $228.50 | $383.20 | 1.7× |
| three rivers provider network | 3 | 9 | $139.50 | $234.59 | $631.80 | 4.5× |
| selectcare | 4 | 8 | $400.00 | $474.75 | $680.00 | 1.7× |
| Oscar Health | 3 | 8 | $58.65 | $91.63 | $121.72 | 2.1× |
| health payors organization | 3 | 8 | $425.00 | $437.50 | $567.80 | 1.3× |
| prime health services | 3 | 8 | $103.50 | $161.70 | $214.80 | 2.1× |
| occunet | 2 | 6 | $120.75 | $188.65 | $250.60 | 2.1× |
| fidelis | 2 | 6 | $375.00 | $375.00 | $501.00 | 1.3× |
| health coalition partners | 4 | 6 | $400.00 | $430.83 | $506.10 | 1.3× |
| health partners plans | 3 | 6 | $71.73 | $71.73 | $71.73 | 1.0× |
| ibc | 2 | 6 | $137.64 | $137.64 | $137.64 | 1.0× |
| innovage | 2 | 6 | $86.25 | $134.75 | $179.00 | 2.1× |
| abington pro ibc | 1 | 4 | $120.19 | $124.48 | $150.05 | 1.2× |
| galaxy health plan | 1 | 4 | $300.00 | $430.00 | $560.00 | 1.9× |
| national provider network | 2 | 4 | $410.00 | $523.12 | $636.24 | 1.6× |
| qualcare | 1 | 4 | $334.18 | $389.05 | $443.92 | 1.3× |
| pennsylvania health and wellness | 3 | 3 | $201.75 | $201.75 | $201.75 | 1.0× |
| Anthem BCBS | 1 | 3 | $246.54 | $281.25 | $329.69 | 1.3× |
| jup health partners chip | 1 | 3 | $90.37 | $126.46 | $141.57 | 1.6× |
| univera | 1 | 3 | $74.25 | $163.35 | $217.80 | 2.9× |
| gateway health plan | 3 | 3 | $108.44 | $151.15 | $151.15 | 1.4× |
| magellan health | 1 | 2 | $115.43 | $554.22 | $993.00 | 8.6× |
| jup geisinger commercial | 1 | 2 | $192.52 | $204.13 | $215.73 | 1.1× |
| jup community behavioral health | 1 | 2 | $128.79 | $134.28 | $139.77 | 1.1× |
| prime net | 1 | 2 | $592.86 | $592.86 | $592.86 | 1.0× |
| independent health | 1 | 2 | $206.88 | $213.75 | $220.61 | 1.1× |
| Medicare | 1 | 2 | $106.97 | $113.55 | $120.14 | 1.1× |
| jup pa health_wellness | 1 | 1 | $117.48 | $117.48 | $117.48 | 1.0× |
| health plan of upper ohio valley | 1 | 1 | $233.31 | $233.31 | $233.31 | 1.0× |
| pa health_wellness chc | 1 | 1 | $78.00 | $78.00 | $78.00 | 1.0× |
| pa health and wellness inc | 1 | 1 | $108.44 | $108.44 | $108.44 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Upmc Northwest Hospital | Seneca | PA | 13 | $598.00 | $358.80 | $36.08 | $358.80 | $3,704.00 |
| Upmc Shadyside | Pittsburgh | PA | 19 | $500.00 | $300.00 | $36.08 | $350.00 | $636.41 |
| Upmc Mckeesport | Mckeesport | PA | 13 | $850.00 | $510.00 | $36.08 | $327.25 | $722.50 |
| Upmc Bedford Memorial Hospital | Everett | PA | 17 | $479.00 | $287.40 | $36.08 | $301.05 | $431.10 |
| Upmc - Presbyterian Shadyside | Pittsburgh | PA | 5 | $668.00 | $400.80 | $121.78 | $300.00 | $567.80 |
| Upmc Horizon Hospital | Greenville | PA | 17 | $723.00 | $433.80 | $36.08 | $287.97 | $614.55 |
| Upmc East Hospital | Monroeville | PA | 13 | $709.00 | $425.40 | $36.08 | $276.51 | $585.14 |
| Upmc Passavant | Pittsburgh | PA | 14 | $505.00 | $303.00 | $36.08 | $233.31 | $558.02 |
| Upmc St Margaret | Pittsburgh | PA | 12 | $648.00 | $388.80 | $36.08 | $219.29 | $585.14 |
| Upmc Mercy Hospital | Pittsburgh | PA | 16 | $500.00 | $300.00 | $36.08 | $216.87 | $450.00 |
| Charles Cole Memorial Hospital | Coudersport | PA | 14 | $700.00 | $420.00 | $61.30 | $211.68 | $574.00 |
| Upmc Hamot | Erie | PA | 14 | $495.00 | $297.00 | $63.91 | $198.00 | $419.02 |
| Upmc Jameson | New Castle | PA | 12 | $723.00 | $433.80 | $27.66 | $196.77 | $636.24 |
| Wellsboro | Wellsboro | PA | 14 | $702.00 | $421.20 | $21.96 | $163.50 | $666.90 |
| Curahealth Heritage Valley | Beaver | PA | 7 | $328.00 | $88.56 | $90.37 | $145.63 | $328.00 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 5 | $301.00 | — | $71.73 | $137.64 | $252.13 |
| Altoona Regional Health System | Altoona | PA | 12 | $457.00 | $274.20 | $20.00 | $134.02 | $371.06 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 12 | $457.00 | $274.20 | $20.00 | $134.02 | $371.06 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 12 | $457.00 | $274.20 | $20.00 | $134.02 | $371.06 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 12 | $457.00 | $274.20 | $20.00 | $134.02 | $371.06 |
| Lock Haven Hospital | Lock Haven | PA | 15 | $702.00 | $421.20 | $41.85 | $133.24 | $631.80 |
| Divine Providence Hospital | Williamsport | PA | 15 | $702.00 | $421.20 | $41.85 | $133.24 | $631.80 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 15 | $702.00 | $421.20 | $41.85 | $133.24 | $631.80 |
| Aria Health | Philadelphia | PA | 12 | $532.00 | — | $73.80 | $131.87 | $360.89 |
| American Oncologic Hospial | Philadelphia | PA | 10 | $716.00 | — | $68.18 | $129.17 | $443.92 |
| Temple University Hospital | Philadelphia | PA | 16 | $716.00 | — | $21.05 | $116.96 | $1,201.20 |
| Jeanes Hospital | Philadelphia | PA | 14 | $716.00 | — | $21.05 | $101.87 | $1,261.26 |
| Pennsylvania Psychiatric Institute | Harrisburg | PA | 0 | $495.00 | $84.94 | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | $495.00 | $118.26 | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | $498.00 | $124.50 | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | $837.00 | $418.50 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | $498.00 | $348.60 | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | $337.00 | $188.72 | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | $115.00 | $29.91 | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | $305.00 | $259.25 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | $498.00 | $124.50 | — | — | — |
| Wayne Memorial Hospital | Honesdale | PA | 0 | $252.00 | $176.40 | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | $498.00 | $124.50 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $380.00 | $152.00 | — | — | — |
| Westmoreland Regional Hospital | Greensburg | PA | 0 | $293.00 | $175.80 | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | $337.00 | $235.90 | — | — | — |
| The Chester County Hospital | West Chester | PA | 0 | $342.00 | $342.00 | — | — | — |
| Doylestown Hospital | Doylestown | PA | 0 | $359.00 | $359.00 | — | — | — |
| Frick Hospital | Mount Pleasant | PA | 0 | $293.00 | $175.80 | — | — | — |
| Latrobe Area Hospital | Latrobe | PA | 0 | $290.00 | $174.00 | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | $965.00 | $965.00 | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $385.00 | — | — | — | — |
| Meyersdale Community Hospital | Meyersdale | PA | 0 | $383.00 | $153.20 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $380.00 | $152.00 | — | — | — |
| Lifecare Hospitals Of Chester County | West Chester | PA | 0 | $342.00 | $342.00 | — | — | — |
| Allied Services Rehab Hospital | Scranton | PA | 0 | $410.00 | — | — | — | — |
| John Heinz Instit. Of Rehab Medicine | Wilkes-Barre | PA | 0 | $410.00 | — | — | — | — |
| Penn State Hershey Rehabilitation Ll | Hummelstown | PA | 0 | $115.00 | $29.91 | — | — | — |
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.