▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in PA
Hospitals
53
Min
$124.74
Median
$188.00
Max
$526.20
Range multiplier
4.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 27 | 228 | $23.76 | $234.88 | $848.33 | 35.7× |
| Blue Cross Blue Shield | 26 | 189 | $26.40 | $174.31 | $756.20 | 28.6× |
| Cigna | 22 | 92 | $27.72 | $237.20 | $673.36 | 24.3× |
| UnitedHealthcare | 25 | 79 | $28.25 | $150.45 | $835.55 | 29.6× |
| Multiplan | 10 | 78 | $102.96 | $443.04 | $1,028.58 | 10.0× |
| upmc health plan | 24 | 66 | $26.93 | $129.29 | $613.90 | 22.8× |
| intergroup | 14 | 56 | $118.80 | $492.00 | $3,704.00 | 31.2× |
| geisinger | 17 | 42 | $41.70 | $163.37 | $701.60 | 16.8× |
| First Health | 12 | 42 | $77.66 | $506.25 | $774.20 | 10.0× |
| pa health & wellness | 20 | 33 | $28.51 | $200.31 | $265.20 | 9.3× |
| amerihealth caritas | 21 | 30 | $46.83 | $183.49 | $251.70 | 5.4× |
| private health care systems | 13 | 26 | $307.49 | $533.70 | $1,028.58 | 3.3× |
| wirerope works | 4 | 22 | $73.39 | $271.88 | $546.55 | 7.4× |
| america's choice | 4 | 22 | $118.80 | $440.10 | $884.70 | 7.4× |
| Humana | 9 | 22 | $136.31 | $701.60 | $1,028.58 | 7.5× |
| upmc work partners | 20 | 20 | $236.04 | $252.73 | $280.88 | 1.2× |
| Medicaid | 2 | 18 | $60.00 | $118.59 | $234.36 | 3.9× |
| health partners plans (jefferson health plan) | 11 | 15 | $45.24 | $177.25 | $177.25 | 3.9× |
| preferred healthcare system | 6 | 12 | $286.50 | $286.50 | $474.40 | 1.7× |
| keystone first | 5 | 12 | $73.80 | $267.58 | $327.94 | 4.4× |
| three rivers provider network | 3 | 9 | $139.50 | $282.89 | $884.70 | 6.3× |
| health payors organization | 3 | 8 | $513.40 | $539.75 | $716.55 | 1.4× |
| selectcare | 4 | 8 | $483.20 | $578.85 | $828.00 | 1.7× |
| health coalition partners | 4 | 6 | $483.20 | $533.70 | $631.44 | 1.3× |
| fidelis | 2 | 6 | $453.00 | $453.00 | $632.25 | 1.4× |
| health partners plans | 3 | 6 | $97.08 | $97.08 | $97.08 | 1.0× |
| ibc | 2 | 6 | $187.26 | $187.26 | $187.26 | 1.0× |
| prime health services | 3 | 5 | $132.00 | $267.30 | $267.30 | 2.0× |
| Oscar Health | 3 | 5 | $74.80 | $151.47 | $151.47 | 2.0× |
| abington pro ibc | 1 | 4 | $163.25 | $183.49 | $203.81 | 1.2× |
| galaxy health plan | 1 | 4 | $385.60 | $543.60 | $701.60 | 1.8× |
| innovage | 2 | 4 | $110.00 | $166.38 | $222.75 | 2.0× |
| national provider network | 2 | 4 | $515.78 | $643.77 | $771.76 | 1.5× |
| occunet | 2 | 4 | $154.00 | $232.93 | $311.85 | 2.0× |
| pennsylvania health and wellness | 3 | 3 | $262.41 | $262.41 | $262.41 | 1.0× |
| Anthem BCBS | 1 | 3 | $299.06 | $341.15 | $399.91 | 1.3× |
| univera | 1 | 3 | $90.15 | $198.33 | $264.44 | 2.9× |
| jup health partners chip | 1 | 3 | $60.00 | $117.54 | $158.37 | 2.6× |
| gateway health plan | 3 | 3 | $72.00 | $207.55 | $207.55 | 2.9× |
| Medicare | 1 | 2 | $153.74 | $168.13 | $182.53 | 1.2× |
| pa health_wellness chc | 2 | 2 | $78.00 | $78.00 | $78.00 | 1.0× |
| jup community behavioral health | 1 | 2 | $171.72 | $179.04 | $186.36 | 1.1× |
| prime net | 1 | 2 | $719.14 | $719.14 | $719.14 | 1.0× |
| qualcare | 1 | 2 | $552.42 | $552.42 | $552.42 | 1.0× |
| independent health | 1 | 2 | $206.88 | $213.75 | $220.61 | 1.1× |
| jup pa health_wellness | 1 | 2 | $78.00 | $115.40 | $152.80 | 2.0× |
| bravo | 1 | 1 | $220.15 | $220.15 | $220.15 | 1.0× |
| magellan health | 1 | 1 | $156.78 | $156.78 | $156.78 | 1.0× |
| health plan of upper ohio valley | 1 | 1 | $510.97 | $510.97 | $510.97 | 1.0× |
| pa health and wellness inc | 1 | 1 | $72.00 | $72.00 | $72.00 | 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 | $877.00 | $526.20 | $36.08 | $526.20 | $3,704.00 |
| Upmc Shadyside | Pittsburgh | PA | 19 | $604.00 | $362.40 | $36.08 | $422.80 | $756.20 |
| Upmc Mckeesport | Mckeesport | PA | 13 | $1,035.00 | $621.00 | $36.08 | $398.48 | $879.75 |
| Upmc Bedford Memorial Hospital | Everett | PA | 17 | $593.00 | $355.80 | $36.08 | $372.70 | $533.70 |
| Upmc - Presbyterian Shadyside | Pittsburgh | PA | 5 | $843.00 | $505.80 | $147.82 | $362.40 | $716.55 |
| Upmc Horizon Hospital | Greenville | PA | 17 | $877.00 | $526.20 | $36.08 | $343.78 | $745.45 |
| Upmc East Hospital | Monroeville | PA | 13 | $860.00 | $516.00 | $36.08 | $335.40 | $695.27 |
| Upmc Passavant | Pittsburgh | PA | 14 | $1,106.00 | $663.60 | $36.08 | $335.10 | $1,028.58 |
| Charles Cole Memorial Hospital | Coudersport | PA | 14 | $877.00 | $526.20 | $65.78 | $265.20 | $719.14 |
| Upmc St Margaret | Pittsburgh | PA | 12 | $780.00 | $468.00 | $36.08 | $260.91 | $695.27 |
| Upmc Mercy Hospital | Pittsburgh | PA | 16 | $629.00 | $377.40 | $36.08 | $257.69 | $566.10 |
| Upmc Hamot | Erie | PA | 14 | $601.00 | $360.60 | $63.91 | $230.51 | $527.06 |
| Upmc Jameson | New Castle | PA | 12 | $877.00 | $526.20 | $29.68 | $226.22 | $771.76 |
| American Oncologic Hospial | Philadelphia | PA | 10 | $891.00 | — | $97.08 | $188.00 | $552.42 |
| Curahealth Heritage Valley | Beaver | PA | 7 | $400.00 | $108.00 | $72.00 | $177.60 | $400.00 |
| Wellsboro | Wellsboro | PA | 14 | $983.00 | $589.80 | $23.76 | $177.25 | $933.85 |
| Altoona Regional Health System | Altoona | PA | 12 | $573.00 | $343.80 | $30.00 | $174.31 | $458.40 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 12 | $573.00 | $343.80 | $30.00 | $174.31 | $458.40 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 12 | $573.00 | $343.80 | $30.00 | $174.31 | $458.40 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 12 | $573.00 | $343.80 | $30.00 | $174.31 | $458.40 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 5 | $385.00 | — | $78.00 | $167.40 | $327.94 |
| Aria Health | Philadelphia | PA | 14 | $335.00 | $282.51 | $60.00 | $158.69 | $453.36 |
| Lock Haven Hospital | Lock Haven | PA | 15 | $983.00 | $589.80 | $41.85 | $157.80 | $884.70 |
| Divine Providence Hospital | Williamsport | PA | 15 | $983.00 | $589.80 | $41.85 | $157.80 | $884.70 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 15 | $983.00 | $589.80 | $41.85 | $157.80 | $884.70 |
| Temple University Hospital | Philadelphia | PA | 16 | $891.00 | — | $26.84 | $137.35 | $311.85 |
| Jeanes Hospital | Philadelphia | PA | 14 | $891.00 | — | $26.84 | $124.74 | $333.23 |
| Pennsylvania Psychiatric Institute | Harrisburg | PA | 0 | $632.00 | $108.45 | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | $632.00 | $150.98 | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | $603.00 | $150.75 | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | $930.00 | $465.00 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | $603.00 | $422.10 | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | — | — | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | $115.00 | $29.91 | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | $390.00 | $331.50 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | $603.00 | $150.75 | — | — | — |
| Wayne Memorial Hospital | Honesdale | PA | 0 | $318.00 | $222.60 | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | $603.00 | $150.75 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $453.00 | $181.20 | — | — | — |
| Westmoreland Regional Hospital | Greensburg | PA | 0 | $450.00 | $270.00 | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | $426.00 | $298.20 | — | — | — |
| 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 | $434.00 | $260.40 | — | — | — |
| Latrobe Area Hospital | Latrobe | PA | 0 | $434.00 | $260.40 | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | $1,232.00 | $1,232.00 | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $490.00 | — | — | — | — |
| Meyersdale Community Hospital | Meyersdale | PA | 0 | $472.00 | $188.80 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $453.00 | $181.20 | — | — | — |
| Lifecare Hospitals Of Chester County | West Chester | PA | 0 | $342.00 | $342.00 | — | — | — |
| Allied Services Rehab Hospital | Scranton | PA | 0 | $546.00 | — | — | — | — |
| John Heinz Instit. Of Rehab Medicine | Wilkes-Barre | PA | 0 | $546.00 | — | — | — | — |
| 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.