▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in PA
Hospitals
52
Min
$101.87
Median
$163.5
Max
$358.8
Range multiplier
3.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 26 | 244 | $20 | $183.95 | $605.83 | 30.3× |
| Blue Cross Blue Shield | 25 | 218 | $24.4 | $134.02 | $1,261.26 | 51.7× |
| Cigna | 22 | 98 | $25.62 | $184.86 | $510 | 19.9× |
| UnitedHealthcare | 24 | 88 | $21 | $142.03 | $596.7 | 28.4× |
| Multiplan | 9 | 81 | $95.16 | $347.88 | $666.9 | 7.0× |
| upmc health plan | 23 | 67 | $22 | $99.41 | $490 | 22.3× |
| intergroup | 13 | 54 | $109.8 | $396 | $3,704 | 33.7× |
| geisinger | 16 | 44 | $27.8 | $125.61 | $560 | 20.1× |
| First Health | 11 | 40 | $77.66 | $353.5 | $595 | 7.7× |
| pa health & wellness | 19 | 33 | $26.35 | $154.01 | $211.68 | 8.0× |
| amerihealth caritas | 20 | 29 | $31.22 | $141.08 | $200.9 | 6.4× |
| wirerope works | 4 | 24 | $67.83 | $228.24 | $390.31 | 5.8× |
| america's choice | 4 | 24 | $109.8 | $369.45 | $631.8 | 5.8× |
| private health care systems | 12 | 24 | $254.99 | $431.1 | $680 | 2.7× |
| Humana | 8 | 20 | $106.05 | $529.55 | $722.5 | 6.8× |
| upmc work partners | 19 | 19 | $193.76 | $196.77 | $235.33 | 1.2× |
| health partners plans (jefferson health plan) | 10 | 14 | $30.16 | $136.28 | $136.28 | 4.5× |
| keystone first | 5 | 13 | $73.8 | $190.44 | $252.13 | 3.4× |
| Medicaid | 2 | 13 | $71.73 | $107.4 | $180.19 | 2.5× |
| preferred healthcare system | 5 | 10 | $228.5 | $228.5 | $383.2 | 1.7× |
| three rivers provider network | 3 | 9 | $139.5 | $234.59 | $631.8 | 4.5× |
| Oscar Health | 3 | 8 | $58.65 | $91.63 | $121.72 | 2.1× |
| prime health services | 3 | 8 | $103.5 | $161.7 | $214.8 | 2.1× |
| health payors organization | 2 | 6 | $425 | $450 | $567.8 | 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× |
| selectcare | 3 | 6 | $431.1 | $518.4 | $680 | 1.6× |
| occunet | 2 | 6 | $120.75 | $188.65 | $250.6 | 2.1× |
| innovage | 2 | 6 | $86.25 | $134.75 | $179 | 2.1× |
| abington pro ibc | 1 | 4 | $120.19 | $124.48 | $150.05 | 1.2× |
| fidelis | 1 | 4 | $375 | $438 | $501 | 1.3× |
| galaxy health plan | 1 | 4 | $300 | $430 | $560 | 1.9× |
| health coalition partners | 3 | 4 | $430.56 | $431.1 | $506.1 | 1.2× |
| national provider network | 2 | 4 | $410 | $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 | $217.8 | 2.9× |
| gateway health plan | 3 | 3 | $108.44 | $151.15 | $151.15 | 1.4× |
| magellan health | 1 | 2 | $115.43 | $554.22 | $993 | 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 | $78 | $78 | 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 | $358.8 | $36.08 | $358.8 | $3,704 |
| UPMC MCKEESPORT | MCKEESPORT | PA | 13 | $850 | $510 | $36.08 | $327.25 | $722.5 |
| UPMC BEDFORD MEMORIAL HOSPITAL | EVERETT | PA | 17 | $479 | $287.4 | $36.08 | $301.05 | $431.1 |
| UPMC - PRESBYTERIAN SHADYSIDE | PITTSBURGH | PA | 5 | $668 | $400.8 | $121.78 | $300 | $567.8 |
| UPMC HORIZON HOSPITAL | GREENVILLE | PA | 17 | $723 | $433.8 | $36.08 | $287.97 | $614.55 |
| UPMC EAST HOSPITAL | MONROEVILLE | PA | 13 | $709 | $425.4 | $36.08 | $276.51 | $585.14 |
| UPMC PASSAVANT | PITTSBURGH | PA | 14 | $505 | $303 | $36.08 | $233.31 | $558.02 |
| UPMC ST MARGARET | PITTSBURGH | PA | 12 | $648 | $388.8 | $36.08 | $219.29 | $585.14 |
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 16 | $500 | $300 | $36.08 | $216.87 | $450 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 14 | $700 | $420 | $61.3 | $211.68 | $574 |
| UPMC HAMOT | ERIE | PA | 14 | $495 | $297 | $63.91 | $198 | $419.02 |
| UPMC JAMESON | NEW CASTLE | PA | 12 | $723 | $433.8 | $27.66 | $196.77 | $636.24 |
| WELLSBORO | WELLSBORO | PA | 14 | $702 | $421.2 | $21.96 | $163.5 | $666.9 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 7 | $328 | $88.56 | $90.37 | $145.63 | $328 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 5 | $301 | — | $71.73 | $137.64 | $252.13 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 12 | $457 | $274.2 | $20 | $134.02 | $371.06 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 12 | $457 | $274.2 | $20 | $134.02 | $371.06 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 12 | $457 | $274.2 | $20 | $134.02 | $371.06 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 12 | $457 | $274.2 | $20 | $134.02 | $371.06 |
| WILLIAMSPORT HOSPITAL & MEDICAL CTR | WILLIAMSPORT | PA | 15 | $702 | $421.2 | $41.85 | $133.24 | $631.8 |
| LOCK HAVEN HOSPITAL | LOCK HAVEN | PA | 15 | $702 | $421.2 | $41.85 | $133.24 | $631.8 |
| DIVINE PROVIDENCE HOSPITAL | WILLIAMSPORT | PA | 15 | $702 | $421.2 | $41.85 | $133.24 | $631.8 |
| ARIA HEALTH | PHILADELPHIA | PA | 12 | $532 | — | $73.8 | $131.87 | $360.89 |
| AMERICAN ONCOLOGIC HOSPIAL | PHILADELPHIA | PA | 10 | $716 | — | $68.18 | $129.17 | $443.92 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 16 | $716 | — | $21.05 | $116.96 | $1,201.2 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 14 | $716 | — | $21.05 | $101.87 | $1,261.26 |
| WESTMORELAND REGIONAL HOSPITAL | GREENSBURG | PA | 0 | $293 | $175.8 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $380 | $152 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | $337 | $235.9 | — | — | — |
| PHOENIXVILLE HOSPITAL | PHOENIXVILLE | PA | 0 | $498 | $124.5 | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $252 | $176.4 | — | — | — |
| THE CHESTER COUNTY HOSPITAL | WEST CHESTER | PA | 0 | $342 | $342 | — | — | — |
| POTTSTOWN MEMORIAL MEDICAL CENTER | POTTSTOWN | PA | 0 | $498 | $124.5 | — | — | — |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $359 | $359 | — | — | — |
| FRICK HOSPITAL | MOUNT PLEASANT | PA | 0 | $293 | $175.8 | — | — | — |
| LATROBE AREA HOSPITAL | LATROBE | PA | 0 | $290 | $174 | — | — | — |
| PRESBYTERIAN MEDICAL CENTER | PHILADELPHIA | PA | 0 | $965 | $965 | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $385 | — | — | — | — |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | $305 | $259.25 | — | — | — |
| MEYERSDALE COMMUNITY HOSPITAL | MEYERSDALE | PA | 0 | $383 | $153.2 | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | $115 | $29.91 | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | $337 | $188.72 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $380 | $152 | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | $498 | $348.6 | — | — | — |
| LIFECARE HOSPITALS OF CHESTER COUNTY | WEST CHESTER | PA | 0 | $342 | $342 | — | — | — |
| ALLIED SERVICES REHAB HOSPITAL | SCRANTON | PA | 0 | $410 | — | — | — | — |
| JOHN HEINZ INSTIT. OF REHAB MEDICINE | WILKES-BARRE | PA | 0 | $410 | — | — | — | — |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | $115 | $29.91 | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | $837 | $418.5 | — | — | — |
| CHESTNUT HILL HOSPITAL | PHILADELPHIA | PA | 0 | $498 | $124.5 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $495 | $118.26 | — | — | — |
| PENNSYLVANIA PSYCHIATRIC INSTITUTE | HARRISBURG | PA | 0 | $495 | $84.94 | — | — | — |
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.