▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in PA
Hospitals
56
Min
$9.29
Median
$66.80
Max
$129.60
Range multiplier
14.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 25 | 295 | $1.26 | $37.42 | $2,094.25 | 1662.1× |
| Aetna | 27 | 289 | $1.52 | $59.16 | $287.38 | 189.1× |
| Cigna | 23 | 110 | $1.10 | $63.91 | $228.10 | 207.4× |
| UnitedHealthcare | 25 | 103 | $1.60 | $42.00 | $283.05 | 176.9× |
| Multiplan | 11 | 102 | $20.28 | $120.90 | $316.35 | 15.6× |
| upmc health plan | 24 | 80 | $5.30 | $31.95 | $145.19 | 27.4× |
| intergroup | 14 | 62 | $23.40 | $125.10 | $3,704.00 | 158.3× |
| geisinger | 17 | 57 | $2.73 | $49.58 | $223.11 | 81.7× |
| First Health | 12 | 44 | $73.48 | $127.96 | $224.11 | 3.0× |
| pa health & wellness | 20 | 43 | $5.62 | $34.08 | $2,315.52 | 412.0× |
| amerihealth caritas | 21 | 40 | $9.37 | $31.22 | $2,208.32 | 235.7× |
| america's choice | 5 | 28 | $23.40 | $138.80 | $299.70 | 12.8× |
| wirerope works | 5 | 28 | $14.46 | $91.46 | $185.15 | 12.8× |
| Humana | 9 | 27 | $24.89 | $136.85 | $199.75 | 8.0× |
| Medicaid | 2 | 25 | $17.60 | $42.77 | $107.40 | 6.1× |
| private health care systems | 12 | 24 | $47.96 | $176.00 | $232.80 | 4.9× |
| upmc work partners | 20 | 20 | $32.39 | $38.83 | $43.75 | 1.4× |
| health partners plans (jefferson health plan) | 10 | 18 | $9.05 | $30.16 | $60.32 | 6.7× |
| fidelis | 3 | 14 | $20.20 | $127.50 | $233.25 | 11.5× |
| health payors organization | 3 | 14 | $118.15 | $145.35 | $264.35 | 2.2× |
| Oscar Health | 3 | 13 | $1.70 | $5.78 | $71.40 | 42.0× |
| prime health services | 3 | 13 | $3.00 | $10.20 | $126.00 | 42.0× |
| preferred healthcare system | 6 | 12 | $104.65 | $145.50 | $145.50 | 1.4× |
| keystone first | 5 | 12 | $42.15 | $61.36 | $167.40 | 4.0× |
| three rivers provider network | 4 | 11 | $44.12 | $139.50 | $299.70 | 6.8× |
| occunet | 2 | 10 | $3.50 | $11.90 | $147.00 | 42.0× |
| innovage | 2 | 10 | $2.50 | $8.50 | $105.00 | 42.0× |
| selectcare | 4 | 8 | $125.10 | $146.00 | $179.20 | 1.4× |
| galaxy health plan | 1 | 6 | $70.40 | $90.40 | $112.00 | 1.6× |
| health coalition partners | 4 | 6 | $125.10 | $128.80 | $164.50 | 1.3× |
| health partners plans | 3 | 6 | $29.58 | $29.58 | $29.58 | 1.0× |
| ibc | 2 | 6 | $8.98 | $8.98 | $8.98 | 1.0× |
| national provider network | 2 | 6 | $136.94 | $150.48 | $206.80 | 1.5× |
| qualcare | 1 | 6 | $6.20 | $172.98 | $260.40 | 42.0× |
| jup pa health_wellness | 1 | 5 | $20.80 | $27.89 | $52.00 | 2.5× |
| jup health partners chip | 1 | 5 | $20.00 | $32.50 | $44.00 | 2.2× |
| abington pro ibc | 1 | 4 | $7.19 | $8.14 | $8.98 | 1.2× |
| univera | 1 | 3 | $29.55 | $65.01 | $86.68 | 2.9× |
| pennsylvania health and wellness | 3 | 3 | $44.65 | $44.65 | $44.65 | 1.0× |
| jup geisinger commercial | 1 | 3 | $13.08 | $14.66 | $17.26 | 1.3× |
| gateway health plan | 3 | 3 | $9.89 | $9.89 | $48.00 | 4.9× |
| Anthem BCBS | 1 | 3 | $80.14 | $91.42 | $107.16 | 1.3× |
| intergroup service corp | 1 | 2 | $62.25 | $100.50 | $138.75 | 2.2× |
| independent health | 1 | 2 | $151.40 | $156.44 | $161.47 | 1.1× |
| prime net | 1 | 2 | $192.70 | $192.70 | $192.70 | 1.0× |
| Medicare | 1 | 2 | $7.27 | $8.48 | $9.69 | 1.3× |
| Molina | 1 | 1 | $45.45 | $45.45 | $45.45 | 1.0× |
| pa health and wellness inc | 1 | 1 | $48.00 | $48.00 | $48.00 | 1.0× |
| pa health_wellness chc | 1 | 1 | $78.00 | $78.00 | $78.00 | 1.0× |
| health plan of upper ohio valley | 1 | 1 | $83.62 | $83.62 | $83.62 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Upmc Jameson | New Castle | PA | 12 | $235.00 | $141.00 | $10.18 | $93.63 | $206.80 |
| Upmc Horizon Hospital | Greenville | PA | 17 | $235.00 | $141.00 | $21.00 | $92.12 | $199.75 |
| Temple University Hospital | Philadelphia | PA | 16 | $420.00 | — | $1.10 | $9.31 | $147.00 |
| Jeanes Hospital | Philadelphia | PA | 14 | $420.00 | — | $1.10 | $9.29 | $157.08 |
| Upmc Bedford Memorial Hospital | Everett | PA | 17 | $139.00 | $83.40 | $21.00 | $87.36 | $125.10 |
| Upmc Mckeesport | Mckeesport | PA | 13 | $224.00 | $134.40 | $19.03 | $86.24 | $190.40 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 5 | $130.00 | — | $8.98 | $79.59 | $167.40 |
| Upmc Passavant | Pittsburgh | PA | 14 | $181.00 | $108.60 | $22.00 | $72.40 | $168.33 |
| Upmc Mercy Hospital | Pittsburgh | PA | 16 | $167.00 | $100.20 | $22.00 | $66.80 | $150.30 |
| Upmc St Margaret | Pittsburgh | PA | 12 | $204.00 | $122.40 | $22.00 | $63.91 | $173.40 |
| Upmc Hamot | Erie | PA | 16 | $197.00 | $118.20 | $20.20 | $63.91 | $161.47 |
| Wellsboro | Wellsboro | PA | 14 | $333.00 | $199.80 | $4.68 | $52.65 | $316.35 |
| American Oncologic Hospial | Philadelphia | PA | 10 | $420.00 | — | $1.26 | $46.04 | $260.40 |
| Charles Cole Memorial Hospital | Coudersport | PA | 14 | $140.00 | $84.00 | $19.64 | $45.20 | $2,094.25 |
| Curahealth Heritage Valley | Beaver | PA | 9 | $185.00 | $49.95 | $8.46 | $35.94 | $138.75 |
| Altoona Regional Health System | Altoona | PA | 12 | $291.00 | $174.60 | $6.00 | $34.08 | $232.80 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 12 | $291.00 | $174.60 | $6.00 | $34.08 | $232.80 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 12 | $291.00 | $174.60 | $6.00 | $34.08 | $232.80 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 12 | $291.00 | $174.60 | $6.00 | $34.08 | $232.80 |
| Aria Health | Philadelphia | PA | 10 | $272.00 | $29.08 | $7.19 | $31.90 | $200.00 |
| Upmc Northwest Hospital | Seneca | PA | 13 | $216.00 | $129.60 | $22.00 | $129.60 | $3,704.00 |
| Lock Haven Hospital | Lock Haven | PA | 15 | $333.00 | $199.80 | $22.00 | $120.90 | $299.70 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 15 | $333.00 | $199.80 | $22.00 | $120.90 | $299.70 |
| Divine Providence Hospital | Williamsport | PA | 15 | $333.00 | $199.80 | $22.00 | $120.90 | $299.70 |
| Upmc Shadyside | Pittsburgh | PA | 19 | $161.00 | $96.60 | $22.00 | $112.70 | $185.11 |
| Upmc - Presbyterian Shadyside | Pittsburgh | PA | 5 | $311.00 | $186.60 | $33.36 | $102.60 | $264.35 |
| Muncy Valley Hospital | Muncy | PA | 15 | $192.00 | $115.20 | $22.00 | $101.57 | $2,315.52 |
| Penn State Hershey Rehabilitation Ll | Hummelstown | PA | 0 | $115.00 | $29.91 | — | — | — |
| St Christophers Hospital For Childr | Philadelphia | PA | 0 | $164.00 | $82.00 | — | — | — |
| Pennsylvania Psychiatric Institute | Harrisburg | PA | 0 | $140.00 | $24.02 | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | $140.00 | $33.45 | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | $292.00 | $73.00 | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | $374.00 | $187.00 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | $167.00 | $116.90 | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | $151.00 | $84.56 | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | $115.00 | $29.91 | — | — | — |
| Hospital Of The Univ Of Penna | Philadelphia | PA | 0 | $468.00 | $468.00 | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | $104.56 | $88.88 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | $194.00 | $48.50 | — | — | — |
| Wayne Memorial Hospital | Honesdale | PA | 0 | $308.00 | $215.60 | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | $292.00 | $73.00 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $130.00 | $52.00 | — | — | — |
| Westmoreland Regional Hospital | Greensburg | PA | 0 | $260.00 | $156.00 | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | $151.00 | $105.70 | — | — | — |
| The Chester County Hospital | West Chester | PA | 0 | $483.00 | $483.00 | — | — | — |
| Doylestown Hospital | Doylestown | PA | 0 | $507.00 | $507.00 | — | — | — |
| Frick Hospital | Mount Pleasant | PA | 0 | $260.00 | $156.00 | — | — | — |
| Latrobe Area Hospital | Latrobe | PA | 0 | $260.00 | $156.00 | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | $1,359.00 | $1,359.00 | — | — | — |
| Pennsylvania Hospital Of Uphs | Philadelphia | PA | 0 | $468.00 | $468.00 | — | — | — |
| Milton S. Hershey Medical Center | Hershey | PA | 0 | $115.00 | $38.10 | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $90.00 | — | — | — | — |
| Hampden Medical Center | Enola | PA | 0 | $115.00 | $36.19 | — | — | — |
| Meyersdale Community Hospital | Meyersdale | PA | 0 | $105.00 | $42.00 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $130.00 | $52.00 | — | — | — |
| Lifecare Hospitals Of Chester County | West Chester | PA | 0 | $483.00 | $483.00 | — | — | — |
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.