▸ 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
Max
$526.2
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 | $26.4 | $174.31 | $756.2 | 28.6× |
| Cigna | 22 | 92 | $27.72 | $237.2 | $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 | $613.9 | 22.8× |
| intergroup | 14 | 56 | $118.8 | $492 | $3,704 | 31.2× |
| geisinger | 17 | 42 | $41.7 | $163.37 | $701.6 | 16.8× |
| First Health | 12 | 42 | $77.66 | $506.25 | $774.2 | 10.0× |
| pa health & wellness | 20 | 33 | $28.51 | $200.31 | $265.2 | 9.3× |
| amerihealth caritas | 21 | 30 | $46.83 | $183.49 | $251.7 | 5.4× |
| private health care systems | 13 | 26 | $307.49 | $533.7 | $1,028.58 | 3.3× |
| wirerope works | 4 | 22 | $73.39 | $271.88 | $546.55 | 7.4× |
| america's choice | 4 | 22 | $118.8 | $440.1 | $884.7 | 7.4× |
| Humana | 9 | 22 | $136.31 | $701.6 | $1,028.58 | 7.5× |
| upmc work partners | 20 | 20 | $236.04 | $252.73 | $280.88 | 1.2× |
| Medicaid | 2 | 18 | $60 | $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 | $286.5 | $286.5 | $474.4 | 1.7× |
| keystone first | 5 | 12 | $73.8 | $267.58 | $327.94 | 4.4× |
| three rivers provider network | 3 | 9 | $139.5 | $282.89 | $884.7 | 6.3× |
| health payors organization | 3 | 8 | $513.4 | $539.75 | $716.55 | 1.4× |
| selectcare | 4 | 8 | $483.2 | $578.85 | $828 | 1.7× |
| health coalition partners | 4 | 6 | $483.2 | $533.7 | $631.44 | 1.3× |
| fidelis | 2 | 6 | $453 | $453 | $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 | $267.3 | $267.3 | 2.0× |
| Oscar Health | 3 | 5 | $74.8 | $151.47 | $151.47 | 2.0× |
| abington pro ibc | 1 | 4 | $163.25 | $183.49 | $203.81 | 1.2× |
| galaxy health plan | 1 | 4 | $385.6 | $543.6 | $701.6 | 1.8× |
| innovage | 2 | 4 | $110 | $166.38 | $222.75 | 2.0× |
| national provider network | 2 | 4 | $515.78 | $643.77 | $771.76 | 1.5× |
| occunet | 2 | 4 | $154 | $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 | $117.54 | $158.37 | 2.6× |
| gateway health plan | 3 | 3 | $72 | $207.55 | $207.55 | 2.9× |
| Medicare | 1 | 2 | $153.74 | $168.13 | $182.53 | 1.2× |
| pa health_wellness chc | 2 | 2 | $78 | $78 | $78 | 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 | $115.4 | $152.8 | 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 | $72 | $72 | 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 | $526.2 | $36.08 | $526.2 | $3,704 |
| UPMC SHADYSIDE | PITTSBURGH | PA | 19 | $604 | $362.4 | $36.08 | $422.8 | $756.2 |
| UPMC MCKEESPORT | MCKEESPORT | PA | 13 | $1,035 | $621 | $36.08 | $398.48 | $879.75 |
| UPMC BEDFORD MEMORIAL HOSPITAL | EVERETT | PA | 17 | $593 | $355.8 | $36.08 | $372.7 | $533.7 |
| UPMC - PRESBYTERIAN SHADYSIDE | PITTSBURGH | PA | 5 | $843 | $505.8 | $147.82 | $362.4 | $716.55 |
| UPMC HORIZON HOSPITAL | GREENVILLE | PA | 17 | $877 | $526.2 | $36.08 | $343.78 | $745.45 |
| UPMC EAST HOSPITAL | MONROEVILLE | PA | 13 | $860 | $516 | $36.08 | $335.4 | $695.27 |
| UPMC PASSAVANT | PITTSBURGH | PA | 14 | $1,106 | $663.6 | $36.08 | $335.1 | $1,028.58 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 14 | $877 | $526.2 | $65.78 | $265.2 | $719.14 |
| UPMC ST MARGARET | PITTSBURGH | PA | 12 | $780 | $468 | $36.08 | $260.91 | $695.27 |
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 16 | $629 | $377.4 | $36.08 | $257.69 | $566.1 |
| UPMC HAMOT | ERIE | PA | 14 | $601 | $360.6 | $63.91 | $230.51 | $527.06 |
| UPMC JAMESON | NEW CASTLE | PA | 12 | $877 | $526.2 | $29.68 | $226.22 | $771.76 |
| AMERICAN ONCOLOGIC HOSPIAL | PHILADELPHIA | PA | 10 | $891 | — | $97.08 | $188 | $552.42 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 7 | $400 | $108 | $72 | $177.6 | $400 |
| WELLSBORO | WELLSBORO | PA | 14 | $983 | $589.8 | $23.76 | $177.25 | $933.85 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 12 | $573 | $343.8 | $30 | $174.31 | $458.4 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 12 | $573 | $343.8 | $30 | $174.31 | $458.4 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 12 | $573 | $343.8 | $30 | $174.31 | $458.4 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 12 | $573 | $343.8 | $30 | $174.31 | $458.4 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 5 | $385 | — | $78 | $167.4 | $327.94 |
| ARIA HEALTH | PHILADELPHIA | PA | 14 | $335 | $282.51 | $60 | $158.69 | $453.36 |
| LOCK HAVEN HOSPITAL | LOCK HAVEN | PA | 15 | $983 | $589.8 | $41.85 | $157.8 | $884.7 |
| DIVINE PROVIDENCE HOSPITAL | WILLIAMSPORT | PA | 15 | $983 | $589.8 | $41.85 | $157.8 | $884.7 |
| WILLIAMSPORT HOSPITAL & MEDICAL CTR | WILLIAMSPORT | PA | 15 | $983 | $589.8 | $41.85 | $157.8 | $884.7 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 16 | $891 | — | $26.84 | $137.35 | $311.85 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 14 | $891 | — | $26.84 | $124.74 | $333.23 |
| PENNSYLVANIA PSYCHIATRIC INSTITUTE | HARRISBURG | PA | 0 | $632 | $108.45 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $632 | $150.98 | — | — | — |
| CHESTNUT HILL HOSPITAL | PHILADELPHIA | PA | 0 | $603 | $150.75 | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | $930 | $465 | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | $603 | $422.1 | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | — | — | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | $115 | $29.91 | — | — | — |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | $390 | $331.5 | — | — | — |
| POTTSTOWN MEMORIAL MEDICAL CENTER | POTTSTOWN | PA | 0 | $603 | $150.75 | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $318 | $222.6 | — | — | — |
| PHOENIXVILLE HOSPITAL | PHOENIXVILLE | PA | 0 | $603 | $150.75 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $453 | $181.2 | — | — | — |
| WESTMORELAND REGIONAL HOSPITAL | GREENSBURG | PA | 0 | $450 | $270 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | $426 | $298.2 | — | — | — |
| THE CHESTER COUNTY HOSPITAL | WEST CHESTER | PA | 0 | $342 | $342 | — | — | — |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $359 | $359 | — | — | — |
| FRICK HOSPITAL | MOUNT PLEASANT | PA | 0 | $434 | $260.4 | — | — | — |
| LATROBE AREA HOSPITAL | LATROBE | PA | 0 | $434 | $260.4 | — | — | — |
| PRESBYTERIAN MEDICAL CENTER | PHILADELPHIA | PA | 0 | $1,232 | $1,232 | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $490 | — | — | — | — |
| MEYERSDALE COMMUNITY HOSPITAL | MEYERSDALE | PA | 0 | $472 | $188.8 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $453 | $181.2 | — | — | — |
| LIFECARE HOSPITALS OF CHESTER COUNTY | WEST CHESTER | PA | 0 | $342 | $342 | — | — | — |
| ALLIED SERVICES REHAB HOSPITAL | SCRANTON | PA | 0 | $546 | — | — | — | — |
| JOHN HEINZ INSTIT. OF REHAB MEDICINE | WILKES-BARRE | PA | 0 | $546 | — | — | — | — |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | $115 | $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.