▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in PA
Hospitals
56
Min
$9.29
Median
$66.8
Max
$129.6
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 | $1.1 | $63.91 | $228.1 | 207.4× |
| UnitedHealthcare | 25 | 103 | $1.6 | $42 | $283.05 | 176.9× |
| Multiplan | 11 | 102 | $20.28 | $120.9 | $316.35 | 15.6× |
| upmc health plan | 24 | 80 | $5.3 | $31.95 | $145.19 | 27.4× |
| intergroup | 14 | 62 | $23.4 | $125.1 | $3,704 | 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 | $23.4 | $138.8 | $299.7 | 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 | $17.6 | $42.77 | $107.4 | 6.1× |
| private health care systems | 12 | 24 | $47.96 | $176 | $232.8 | 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 | $20.2 | $127.5 | $233.25 | 11.5× |
| health payors organization | 3 | 14 | $118.15 | $145.35 | $264.35 | 2.2× |
| Oscar Health | 3 | 13 | $1.7 | $5.78 | $71.4 | 42.0× |
| prime health services | 3 | 13 | $3 | $10.2 | $126 | 42.0× |
| preferred healthcare system | 6 | 12 | $104.65 | $145.5 | $145.5 | 1.4× |
| keystone first | 5 | 12 | $42.15 | $61.36 | $167.4 | 4.0× |
| three rivers provider network | 4 | 11 | $44.12 | $139.5 | $299.7 | 6.8× |
| occunet | 2 | 10 | $3.5 | $11.9 | $147 | 42.0× |
| innovage | 2 | 10 | $2.5 | $8.5 | $105 | 42.0× |
| selectcare | 4 | 8 | $125.1 | $146 | $179.2 | 1.4× |
| galaxy health plan | 1 | 6 | $70.4 | $90.4 | $112 | 1.6× |
| health coalition partners | 4 | 6 | $125.1 | $128.8 | $164.5 | 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 | $206.8 | 1.5× |
| qualcare | 1 | 6 | $6.2 | $172.98 | $260.4 | 42.0× |
| jup pa health_wellness | 1 | 5 | $20.8 | $27.89 | $52 | 2.5× |
| jup health partners chip | 1 | 5 | $20 | $32.5 | $44 | 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 | 4.9× |
| Anthem BCBS | 1 | 3 | $80.14 | $91.42 | $107.16 | 1.3× |
| intergroup service corp | 1 | 2 | $62.25 | $100.5 | $138.75 | 2.2× |
| independent health | 1 | 2 | $151.4 | $156.44 | $161.47 | 1.1× |
| prime net | 1 | 2 | $192.7 | $192.7 | $192.7 | 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 | $48 | $48 | 1.0× |
| pa health_wellness chc | 1 | 1 | $78 | $78 | $78 | 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 | $141 | $10.18 | $93.63 | $206.8 |
| UPMC HORIZON HOSPITAL | GREENVILLE | PA | 17 | $235 | $141 | $21 | $92.12 | $199.75 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 16 | $420 | — | $1.1 | $9.31 | $147 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 14 | $420 | — | $1.1 | $9.29 | $157.08 |
| UPMC BEDFORD MEMORIAL HOSPITAL | EVERETT | PA | 17 | $139 | $83.4 | $21 | $87.36 | $125.1 |
| UPMC MCKEESPORT | MCKEESPORT | PA | 13 | $224 | $134.4 | $19.03 | $86.24 | $190.4 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 5 | $130 | — | $8.98 | $79.59 | $167.4 |
| UPMC PASSAVANT | PITTSBURGH | PA | 14 | $181 | $108.6 | $22 | $72.4 | $168.33 |
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 16 | $167 | $100.2 | $22 | $66.8 | $150.3 |
| UPMC ST MARGARET | PITTSBURGH | PA | 12 | $204 | $122.4 | $22 | $63.91 | $173.4 |
| UPMC HAMOT | ERIE | PA | 16 | $197 | $118.2 | $20.2 | $63.91 | $161.47 |
| WELLSBORO | WELLSBORO | PA | 14 | $333 | $199.8 | $4.68 | $52.65 | $316.35 |
| AMERICAN ONCOLOGIC HOSPIAL | PHILADELPHIA | PA | 10 | $420 | — | $1.26 | $46.04 | $260.4 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 14 | $140 | $84 | $19.64 | $45.2 | $2,094.25 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 9 | $185 | $49.95 | $8.46 | $35.94 | $138.75 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 12 | $291 | $174.6 | $6 | $34.08 | $232.8 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 12 | $291 | $174.6 | $6 | $34.08 | $232.8 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 12 | $291 | $174.6 | $6 | $34.08 | $232.8 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 12 | $291 | $174.6 | $6 | $34.08 | $232.8 |
| ARIA HEALTH | PHILADELPHIA | PA | 10 | $272 | $29.08 | $7.19 | $31.9 | $200 |
| UPMC NORTHWEST HOSPITAL | SENECA | PA | 13 | $216 | $129.6 | $22 | $129.6 | $3,704 |
| LOCK HAVEN HOSPITAL | LOCK HAVEN | PA | 15 | $333 | $199.8 | $22 | $120.9 | $299.7 |
| WILLIAMSPORT HOSPITAL & MEDICAL CTR | WILLIAMSPORT | PA | 15 | $333 | $199.8 | $22 | $120.9 | $299.7 |
| DIVINE PROVIDENCE HOSPITAL | WILLIAMSPORT | PA | 15 | $333 | $199.8 | $22 | $120.9 | $299.7 |
| UPMC SHADYSIDE | PITTSBURGH | PA | 19 | $161 | $96.6 | $22 | $112.7 | $185.11 |
| UPMC - PRESBYTERIAN SHADYSIDE | PITTSBURGH | PA | 5 | $311 | $186.6 | $33.36 | $102.6 | $264.35 |
| MUNCY VALLEY HOSPITAL | MUNCY | PA | 15 | $192 | $115.2 | $22 | $101.57 | $2,315.52 |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | $115 | $29.91 | — | — | — |
| ST CHRISTOPHERS HOSPITAL FOR CHILDR | PHILADELPHIA | PA | 0 | $164 | $82 | — | — | — |
| PENNSYLVANIA PSYCHIATRIC INSTITUTE | HARRISBURG | PA | 0 | $140 | $24.02 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $140 | $33.45 | — | — | — |
| CHESTNUT HILL HOSPITAL | PHILADELPHIA | PA | 0 | $292 | $73 | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | $374 | $187 | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | $167 | $116.9 | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | $151 | $84.56 | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | $115 | $29.91 | — | — | — |
| HOSPITAL OF THE UNIV OF PENNA | PHILADELPHIA | PA | 0 | $468 | $468 | — | — | — |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | $104.56 | $88.88 | — | — | — |
| POTTSTOWN MEMORIAL MEDICAL CENTER | POTTSTOWN | PA | 0 | $194 | $48.5 | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $308 | $215.6 | — | — | — |
| PHOENIXVILLE HOSPITAL | PHOENIXVILLE | PA | 0 | $292 | $73 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $130 | $52 | — | — | — |
| WESTMORELAND REGIONAL HOSPITAL | GREENSBURG | PA | 0 | $260 | $156 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | $151 | $105.7 | — | — | — |
| THE CHESTER COUNTY HOSPITAL | WEST CHESTER | PA | 0 | $483 | $483 | — | — | — |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $507 | $507 | — | — | — |
| FRICK HOSPITAL | MOUNT PLEASANT | PA | 0 | $260 | $156 | — | — | — |
| LATROBE AREA HOSPITAL | LATROBE | PA | 0 | $260 | $156 | — | — | — |
| PRESBYTERIAN MEDICAL CENTER | PHILADELPHIA | PA | 0 | $1,359 | $1,359 | — | — | — |
| PENNSYLVANIA HOSPITAL OF UPHS | PHILADELPHIA | PA | 0 | $468 | $468 | — | — | — |
| MILTON S. HERSHEY MEDICAL CENTER | HERSHEY | PA | 0 | $115 | $38.1 | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $90 | — | — | — | — |
| HAMPDEN MEDICAL CENTER | ENOLA | PA | 0 | $115 | $36.19 | — | — | — |
| MEYERSDALE COMMUNITY HOSPITAL | MEYERSDALE | PA | 0 | $105 | $42 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $130 | $52 | — | — | — |
| LIFECARE HOSPITALS OF CHESTER COUNTY | WEST CHESTER | PA | 0 | $483 | $483 | — | — | — |
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.