▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in PA
Hospitals
56
Min
$53.87
Median
$103.5
Max
$287.12
Range multiplier
5.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 27 | 259 | $8.78 | $102.3 | $360.73 | 41.1× |
| Blue Cross Blue Shield | 25 | 241 | $13.82 | $77.85 | $355 | 25.7× |
| Cigna | 24 | 105 | $15.33 | $104.4 | $426 | 27.8× |
| UnitedHealthcare | 25 | 91 | $15.62 | $89.45 | $358.9 | 23.0× |
| Multiplan | 10 | 82 | $56.94 | $170.52 | $522.03 | 9.2× |
| upmc health plan | 23 | 72 | $14.89 | $44.4 | $213.5 | 14.3× |
| intergroup | 13 | 54 | $65.7 | $181.8 | $3,704 | 56.4× |
| geisinger | 16 | 48 | $27.8 | $55.6 | $280.06 | 10.1× |
| First Health | 12 | 41 | $77.66 | $209.42 | $424.15 | 5.5× |
| pa health & wellness | 19 | 37 | $15.77 | $59.65 | $92.23 | 5.8× |
| amerihealth caritas | 20 | 33 | $31.22 | $54.64 | $87.53 | 2.8× |
| private health care systems | 13 | 25 | $102.79 | $254.15 | $522.03 | 5.1× |
| america's choice | 4 | 24 | $65.7 | $158.4 | $376.2 | 5.7× |
| wirerope works | 4 | 24 | $40.59 | $99.53 | $232.41 | 5.7× |
| Medicaid | 3 | 22 | $17.6 | $62.31 | $107.67 | 6.1× |
| Humana | 8 | 20 | $45.25 | $260.1 | $306 | 6.8× |
| upmc work partners | 19 | 19 | $82.05 | $84.51 | $89.45 | 1.1× |
| health partners plans (jefferson health plan) | 10 | 18 | $30.16 | $52.78 | $60.32 | 2.0× |
| keystone first | 5 | 13 | $49.2 | $85.6 | $167.4 | 3.4× |
| preferred healthcare system | 5 | 10 | $161.6 | $192 | $192 | 1.2× |
| three rivers provider network | 3 | 9 | $94.57 | $139.5 | $376.2 | 4.0× |
| health payors organization | 2 | 8 | $209.1 | $230.28 | $603.5 | 2.9× |
| prime health services | 3 | 8 | $43.2 | $150 | $155.7 | 3.6× |
| Oscar Health | 3 | 8 | $24.48 | $85 | $88.23 | 3.6× |
| abington pro ibc | 1 | 6 | $54.57 | $61.51 | $73.42 | 1.3× |
| fidelis | 1 | 6 | $184.5 | $219.75 | $532.5 | 2.9× |
| health partners plans | 3 | 6 | $39.67 | $39.67 | $39.67 | 1.0× |
| selectcare | 3 | 6 | $181.8 | $244.8 | $244.8 | 1.3× |
| ibc | 2 | 6 | $67.86 | $67.86 | $67.86 | 1.0× |
| innovage | 2 | 6 | $36 | $125 | $129.75 | 3.6× |
| occunet | 2 | 6 | $50.4 | $175 | $181.65 | 3.6× |
| qualcare | 2 | 5 | $310 | $321.78 | $358.9 | 1.2× |
| health coalition partners | 3 | 4 | $181.8 | $202.86 | $252 | 1.4× |
| national provider network | 2 | 4 | $192.7 | $254.75 | $316.8 | 1.6× |
| jup health partners chip | 1 | 4 | $16 | $37.5 | $64.62 | 4.0× |
| galaxy health plan | 1 | 4 | $128 | $186 | $244 | 1.9× |
| gateway health plan | 3 | 3 | $48 | $74.08 | $74.08 | 1.5× |
| Anthem BCBS | 1 | 3 | $122.76 | $140.04 | $164.16 | 1.3× |
| jup pa health_wellness | 1 | 3 | $20.8 | $45.5 | $52 | 2.5× |
| pennsylvania health and wellness | 3 | 3 | $78.14 | $78.14 | $78.14 | 1.0× |
| univera | 1 | 3 | $39.15 | $86.13 | $114.84 | 2.9× |
| Medicare | 1 | 2 | $46.16 | $50.48 | $54.81 | 1.2× |
| jup geisinger commercial | 1 | 2 | $73.97 | $78.43 | $82.89 | 1.1× |
| jup community behavioral health | 1 | 2 | $85.86 | $89.52 | $93.18 | 1.1× |
| intergroup service corp | 1 | 2 | $103.5 | $120.75 | $138 | 1.3× |
| independent health | 1 | 2 | $151.4 | $156.44 | $161.47 | 1.1× |
| prime net | 1 | 2 | $295.2 | $295.2 | $295.2 | 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× |
| bravo | 1 | 1 | $82.25 | $82.25 | $82.25 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 16 | $235 | $141 | $36.08 | $97.8 | $211.5 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 14 | $305 | $183 | $36.75 | $92.23 | $250.1 |
| UPMC JAMESON | NEW CASTLE | PA | 12 | $360 | $216 | $17.84 | $86.1 | $316.8 |
| WELLSBORO | WELLSBORO | PA | 14 | $418 | $250.8 | $13.14 | $83.6 | $397.1 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 5 | $144 | — | $39.67 | $79.59 | $167.4 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 16 | $519 | — | $8.78 | $75 | $181.65 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 9 | $184 | $49.68 | $40 | $72.85 | $138 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 14 | $519 | — | $8.78 | $70 | $194.11 |
| ARIA HEALTH | PHILADELPHIA | PA | 12 | $327 | — | $16 | $59.87 | $162.86 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 12 | $384 | $230.4 | $20 | $53.87 | $307.2 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 12 | $384 | $230.4 | $20 | $53.87 | $307.2 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 12 | $384 | $230.4 | $20 | $53.87 | $307.2 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 12 | $384 | $230.4 | $20 | $53.87 | $307.2 |
| THE CHILDRENS HOSPITAL OF PHILADELP | PHILADELPHIA | PA | 17 | $652.54 | $652.54 | $107.67 | $287.12 | $587.29 |
| UPMC NORTHWEST HOSPITAL | SENECA | PA | 13 | $311 | $186.6 | $36.08 | $186.6 | $3,704 |
| UPMC - PRESBYTERIAN SHADYSIDE | PITTSBURGH | PA | 5 | $710 | $426 | $53.29 | $184.5 | $603.5 |
| UPMC HORIZON HOSPITAL | GREENVILLE | PA | 17 | $360 | $216 | $36.08 | $141.12 | $306 |
| UPMC BEDFORD MEMORIAL HOSPITAL | EVERETT | PA | 17 | $202 | $121.2 | $36.08 | $126.96 | $181.8 |
| UPMC MCKEESPORT | MCKEESPORT | PA | 13 | $306 | $183.6 | $36.08 | $122.4 | $260.1 |
| UPMC EAST HOSPITAL | MONROEVILLE | PA | 13 | $311 | $186.6 | $36.08 | $121.29 | $278.02 |
| LOCK HAVEN HOSPITAL | LOCK HAVEN | PA | 15 | $418 | $250.8 | $38.5 | $120.9 | $376.2 |
| WILLIAMSPORT HOSPITAL & MEDICAL CTR | WILLIAMSPORT | PA | 15 | $418 | $250.8 | $38.5 | $120.9 | $376.2 |
| DIVINE PROVIDENCE HOSPITAL | WILLIAMSPORT | PA | 15 | $418 | $250.8 | $38.5 | $120.9 | $376.2 |
| UPMC PASSAVANT | PITTSBURGH | PA | 14 | $299 | $179.4 | $36.08 | $119.6 | $278.07 |
| UPMC HAMOT | ERIE | PA | 14 | $261 | $156.6 | $38.5 | $104.4 | $208.8 |
| UPMC ST MARGARET | PITTSBURGH | PA | 12 | $306 | $183.6 | $36.08 | $103.8 | $278.02 |
| AMERICAN ONCOLOGIC HOSPIAL | PHILADELPHIA | PA | 10 | $519 | — | $39.67 | $103.5 | $321.78 |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | $115 | $29.91 | — | — | — |
| ST CHRISTOPHERS HOSPITAL FOR CHILDR | PHILADELPHIA | PA | 0 | $218 | $109 | — | — | — |
| PENNSYLVANIA PSYCHIATRIC INSTITUTE | HARRISBURG | PA | 0 | $303 | $51.99 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $303 | $72.39 | — | — | — |
| CHESTNUT HILL HOSPITAL | PHILADELPHIA | PA | 0 | $270 | $67.5 | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | $575 | $287.5 | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | $270 | $189 | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | $225 | $126 | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | $115 | $29.91 | — | — | — |
| HOSPITAL OF THE UNIV OF PENNA | PHILADELPHIA | PA | 0 | $366 | $366 | — | — | — |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | $155 | $131.75 | — | — | — |
| POTTSTOWN MEMORIAL MEDICAL CENTER | POTTSTOWN | PA | 0 | $270 | $67.5 | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $184 | $128.8 | — | — | — |
| PHOENIXVILLE HOSPITAL | PHOENIXVILLE | PA | 0 | $270 | $67.5 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $167 | $66.8 | — | — | — |
| WESTMORELAND REGIONAL HOSPITAL | GREENSBURG | PA | 0 | $280 | $168 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | $225 | $157.5 | — | — | — |
| THE CHESTER COUNTY HOSPITAL | WEST CHESTER | PA | 0 | $342 | $342 | — | — | — |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $359 | $359 | — | — | — |
| FRICK HOSPITAL | MOUNT PLEASANT | PA | 0 | $280 | $168 | — | — | — |
| LATROBE AREA HOSPITAL | LATROBE | PA | 0 | $280 | $168 | — | — | — |
| PRESBYTERIAN MEDICAL CENTER | PHILADELPHIA | PA | 0 | $777 | $777 | — | — | — |
| PENNSYLVANIA HOSPITAL OF UPHS | PHILADELPHIA | PA | 0 | $366 | $366 | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $255 | — | — | — | — |
| MEYERSDALE COMMUNITY HOSPITAL | MEYERSDALE | PA | 0 | $162 | $64.8 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $167 | $66.8 | — | — | — |
| LIFECARE HOSPITALS OF CHESTER COUNTY | WEST CHESTER | PA | 0 | $342 | $342 | — | — | — |
| ALLIED SERVICES REHAB HOSPITAL | SCRANTON | PA | 0 | $136 | — | — | — | — |
| JOHN HEINZ INSTIT. OF REHAB MEDICINE | WILKES-BARRE | PA | 0 | $136 | — | — | — | — |
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.