▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in PA
Hospitals
57
Min
$14.53
Median
$80.57
Max
$145.80
Range multiplier
10.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 27 | 270 | $2.01 | $72.60 | $360.73 | 179.5× |
| Blue Cross Blue Shield | 25 | 257 | $3.17 | $41.61 | $236.00 | 74.4× |
| Cigna | 23 | 105 | $3.64 | $83.60 | $286.33 | 78.7× |
| UnitedHealthcare | 25 | 90 | $5.28 | $51.96 | $355.30 | 67.3× |
| Multiplan | 10 | 84 | $51.28 | $120.90 | $397.10 | 7.7× |
| upmc health plan | 24 | 69 | $13.41 | $44.00 | $182.25 | 13.6× |
| intergroup | 14 | 58 | $59.17 | $147.20 | $3,704.00 | 62.6× |
| geisinger | 17 | 47 | $9.02 | $48.91 | $280.06 | 31.0× |
| First Health | 12 | 42 | $77.66 | $161.70 | $281.31 | 3.6× |
| pa health & wellness | 20 | 34 | $14.20 | $44.31 | $90.29 | 6.4× |
| amerihealth caritas | 21 | 30 | $28.60 | $40.59 | $62.44 | 2.2× |
| private health care systems | 13 | 26 | $71.99 | $216.00 | $276.00 | 3.8× |
| wirerope works | 4 | 24 | $36.56 | $86.18 | $232.41 | 6.4× |
| Medicaid | 2 | 24 | $16.00 | $54.12 | $107.40 | 6.7× |
| america's choice | 4 | 24 | $59.17 | $124.00 | $376.20 | 6.4× |
| Humana | 9 | 22 | $34.22 | $186.01 | $267.75 | 7.8× |
| upmc work partners | 20 | 20 | $58.20 | $60.40 | $62.64 | 1.1× |
| health partners plans (jefferson health plan) | 11 | 15 | $30.16 | $39.21 | $60.32 | 2.0× |
| keystone first | 5 | 14 | $49.20 | $63.59 | $167.40 | 3.4× |
| preferred healthcare system | 6 | 12 | $120.90 | $172.50 | $172.50 | 1.4× |
| health payors organization | 3 | 10 | $148.75 | $158.10 | $401.20 | 2.7× |
| prime health services | 3 | 10 | $9.90 | $16.95 | $144.00 | 14.5× |
| Oscar Health | 3 | 10 | $5.61 | $9.61 | $81.60 | 14.5× |
| three rivers provider network | 3 | 9 | $66.23 | $139.50 | $376.20 | 5.7× |
| innovage | 2 | 8 | $8.25 | $14.13 | $120.00 | 14.5× |
| fidelis | 2 | 8 | $131.25 | $139.50 | $354.00 | 2.7× |
| occunet | 2 | 8 | $11.55 | $19.78 | $168.00 | 14.5× |
| selectcare | 4 | 8 | $148.80 | $186.30 | $218.40 | 1.5× |
| ibc | 2 | 6 | $36.38 | $36.38 | $36.38 | 1.0× |
| health coalition partners | 4 | 6 | $148.80 | $156.60 | $220.50 | 1.5× |
| health partners plans | 3 | 6 | $39.67 | $39.67 | $39.67 | 1.0× |
| jup health partners chip | 1 | 5 | $26.00 | $39.39 | $60.00 | 2.3× |
| jup pa health_wellness | 1 | 5 | $20.80 | $38.03 | $52.00 | 2.5× |
| abington pro ibc | 1 | 4 | $29.08 | $32.77 | $39.13 | 1.3× |
| national provider network | 2 | 4 | $159.90 | $218.55 | $277.20 | 1.7× |
| galaxy health plan | 1 | 4 | $96.80 | $122.00 | $147.20 | 1.5× |
| qualcare | 1 | 4 | $20.46 | $159.03 | $297.60 | 14.5× |
| pennsylvania health and wellness | 3 | 3 | $58.05 | $58.05 | $58.05 | 1.0× |
| gateway health plan | 3 | 3 | $40.12 | $40.12 | $48.00 | 1.2× |
| univera | 1 | 3 | $34.65 | $76.23 | $101.64 | 2.9× |
| jup geisinger commercial | 1 | 3 | $36.63 | $41.05 | $48.32 | 1.3× |
| Anthem BCBS | 1 | 3 | $107.42 | $122.53 | $143.64 | 1.3× |
| independent health | 1 | 2 | $151.40 | $156.44 | $161.47 | 1.1× |
| intergroup service corp | 1 | 2 | $88.50 | $94.88 | $101.25 | 1.1× |
| prime net | 1 | 2 | $258.30 | $258.30 | $258.30 | 1.0× |
| american healthcare group | 1 | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| health plan of upper ohio valley | 1 | 1 | $96.56 | $96.56 | $96.56 | 1.0× |
| pa health and wellness inc | 1 | 1 | $48.00 | $48.00 | $48.00 | 1.0× |
| jab health partners | 1 | 1 | $39.67 | $39.67 | $39.67 | 1.0× |
| jup community behavioral health | 1 | 1 | $42.93 | $42.93 | $42.93 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Upmc Hamot | Erie | PA | 14 | $231.00 | $138.60 | $28.60 | $92.40 | $184.80 |
| Upmc East Hospital | Monroeville | PA | 13 | $231.00 | $138.60 | $28.60 | $90.09 | $215.79 |
| Upmc Jameson | New Castle | PA | 12 | $315.00 | $189.00 | $15.42 | $86.10 | $277.20 |
| Upmc Passavant | Pittsburgh | PA | 14 | $209.00 | $125.40 | $28.60 | $83.60 | $205.79 |
| Upmc St Margaret | Pittsburgh | PA | 12 | $273.00 | $163.80 | $28.60 | $80.57 | $232.05 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 5 | $130.00 | — | $36.38 | $79.59 | $167.40 |
| Upmc Mercy Hospital | Pittsburgh | PA | 16 | $195.00 | $117.00 | $28.60 | $78.43 | $175.50 |
| Wellsboro | Wellsboro | PA | 14 | $418.00 | $250.80 | $11.84 | $62.05 | $397.10 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 12 | $345.00 | $207.00 | $20.00 | $58.20 | $276.00 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 12 | $345.00 | $207.00 | $20.00 | $58.20 | $276.00 |
| Altoona Regional Health System | Altoona | PA | 12 | $345.00 | $207.00 | $20.00 | $58.20 | $276.00 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 12 | $345.00 | $207.00 | $20.00 | $58.20 | $276.00 |
| Charles Cole Memorial Hospital | Coudersport | PA | 14 | $184.00 | $110.40 | $27.30 | $56.12 | $168.00 |
| American Oncologic Hospial | Philadelphia | PA | 10 | $480.00 | — | $4.17 | $54.79 | $297.60 |
| Curahealth Heritage Valley | Beaver | PA | 9 | $135.00 | $36.45 | $33.80 | $53.48 | $118.00 |
| Aria Health | Philadelphia | PA | 12 | $327.00 | — | $16.00 | $42.25 | $103.37 |
| Upmc Northwest Hospital | Seneca | PA | 13 | $243.00 | $145.80 | $28.60 | $145.80 | $3,704.00 |
| Temple University Hospital | Philadelphia | PA | 16 | $480.00 | — | $2.01 | $14.78 | $168.00 |
| Jeanes Hospital | Philadelphia | PA | 14 | $480.00 | — | $2.01 | $14.53 | $179.52 |
| Upmc - Presbyterian Shadyside | Pittsburgh | PA | 5 | $472.00 | $283.20 | $39.83 | $131.25 | $401.20 |
| Upmc Shadyside | Pittsburgh | PA | 19 | $186.00 | $111.60 | $28.60 | $130.20 | $234.70 |
| Upmc Horizon Hospital | Greenville | PA | 17 | $315.00 | $189.00 | $27.30 | $123.48 | $267.75 |
| Lock Haven Hospital | Lock Haven | PA | 15 | $418.00 | $250.80 | $28.60 | $120.90 | $376.20 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 15 | $418.00 | $250.80 | $28.60 | $120.90 | $376.20 |
| Divine Providence Hospital | Williamsport | PA | 15 | $418.00 | $250.80 | $28.60 | $120.90 | $376.20 |
| Upmc Bedford Memorial Hospital | Everett | PA | 17 | $174.00 | $104.40 | $27.30 | $109.36 | $156.60 |
| Upmc Mckeesport | Mckeesport | PA | 13 | $270.00 | $162.00 | $28.60 | $105.48 | $229.50 |
| John Heinz Instit. Of Rehab Medicine | Wilkes-Barre | PA | 0 | $106.00 | — | — | — | — |
| Penn State Hershey Rehabilitation Ll | Hummelstown | PA | 0 | $115.00 | $29.91 | — | — | — |
| St Christophers Hospital For Childr | Philadelphia | PA | 0 | $207.00 | $103.50 | — | — | — |
| Pennsylvania Psychiatric Institute | Harrisburg | PA | 0 | $216.00 | $37.07 | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | $216.00 | $51.60 | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | $216.00 | $54.00 | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | $376.00 | $188.00 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | $216.00 | $151.20 | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | $159.00 | $89.04 | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | $115.00 | $29.91 | — | — | — |
| Hospital Of The Univ Of Penna | Philadelphia | PA | 0 | $305.00 | $305.00 | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | $110.48 | $93.91 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | $216.00 | $54.00 | — | — | — |
| Wayne Memorial Hospital | Honesdale | PA | 0 | $308.00 | $215.60 | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | $216.00 | $54.00 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $136.00 | $54.40 | — | — | — |
| Westmoreland Regional Hospital | Greensburg | PA | 0 | $270.00 | $162.00 | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | $171.00 | $119.70 | — | — | — |
| 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 | $270.00 | $162.00 | — | — | — |
| Latrobe Area Hospital | Latrobe | PA | 0 | $270.00 | $162.00 | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | $557.00 | $557.00 | — | — | — |
| Pennsylvania Hospital Of Uphs | Philadelphia | PA | 0 | $305.00 | $305.00 | — | — | — |
| Milton S. Hershey Medical Center | Hershey | PA | 0 | $115.00 | $38.10 | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $164.00 | — | — | — | — |
| Meyersdale Community Hospital | Meyersdale | PA | 0 | $141.00 | $56.40 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $136.00 | $54.40 | — | — | — |
| Lifecare Hospitals Of Chester County | West Chester | PA | 0 | $342.00 | $342.00 | — | — | — |
| Allied Services Rehab Hospital | Scranton | PA | 0 | $106.00 | — | — | — | — |
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.