▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in PA
Hospitals
57
Min
$53.87
Median
$103.80
Max
$287.12
Range multiplier
5.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 28 | 262 | $8.78 | $102.30 | $360.73 | 41.1× |
| Blue Cross Blue Shield | 26 | 249 | $13.82 | $80.13 | $355.00 | 25.7× |
| Cigna | 24 | 105 | $15.33 | $104.40 | $426.00 | 27.8× |
| UnitedHealthcare | 26 | 92 | $15.62 | $87.43 | $358.90 | 23.0× |
| Multiplan | 11 | 85 | $56.94 | $182.70 | $522.03 | 9.2× |
| upmc health plan | 24 | 73 | $14.89 | $44.00 | $213.50 | 14.3× |
| intergroup | 14 | 58 | $65.70 | $182.70 | $3,704.00 | 56.4× |
| geisinger | 17 | 49 | $27.80 | $55.60 | $280.06 | 10.1× |
| First Health | 13 | 43 | $77.66 | $209.42 | $424.15 | 5.5× |
| pa health & wellness | 20 | 38 | $15.77 | $59.65 | $92.23 | 5.8× |
| amerihealth caritas | 21 | 34 | $31.22 | $54.64 | $87.53 | 2.8× |
| private health care systems | 14 | 27 | $102.79 | $248.80 | $522.03 | 5.1× |
| america's choice | 4 | 24 | $65.70 | $158.40 | $376.20 | 5.7× |
| wirerope works | 4 | 24 | $40.59 | $99.53 | $232.41 | 5.7× |
| Medicaid | 3 | 22 | $17.60 | $62.31 | $107.67 | 6.1× |
| Humana | 9 | 22 | $45.25 | $257.13 | $306.00 | 6.8× |
| upmc work partners | 20 | 20 | $82.05 | $86.46 | $89.45 | 1.1× |
| health partners plans (jefferson health plan) | 11 | 19 | $30.16 | $52.78 | $60.32 | 2.0× |
| keystone first | 5 | 13 | $49.20 | $85.60 | $167.40 | 3.4× |
| preferred healthcare system | 6 | 12 | $159.90 | $192.00 | $192.00 | 1.2× |
| health payors organization | 3 | 10 | $209.10 | $211.50 | $603.50 | 2.9× |
| three rivers provider network | 3 | 9 | $94.57 | $139.50 | $376.20 | 4.0× |
| fidelis | 2 | 8 | $184.50 | $202.13 | $532.50 | 2.9× |
| selectcare | 4 | 8 | $181.80 | $220.80 | $244.80 | 1.3× |
| prime health services | 3 | 8 | $43.20 | $150.00 | $155.70 | 3.6× |
| Oscar Health | 3 | 8 | $24.48 | $85.00 | $88.23 | 3.6× |
| innovage | 2 | 6 | $36.00 | $125.00 | $129.75 | 3.6× |
| health partners plans | 3 | 6 | $39.67 | $39.67 | $39.67 | 1.0× |
| health coalition partners | 4 | 6 | $181.80 | $196.80 | $252.00 | 1.4× |
| ibc | 2 | 6 | $67.86 | $67.86 | $67.86 | 1.0× |
| abington pro ibc | 1 | 6 | $54.57 | $61.51 | $73.42 | 1.3× |
| occunet | 2 | 6 | $50.40 | $175.00 | $181.65 | 3.6× |
| qualcare | 2 | 5 | $310.00 | $321.78 | $358.90 | 1.2× |
| national provider network | 2 | 4 | $192.70 | $254.75 | $316.80 | 1.6× |
| jup health partners chip | 1 | 4 | $16.00 | $37.50 | $64.62 | 4.0× |
| galaxy health plan | 1 | 4 | $128.00 | $186.00 | $244.00 | 1.9× |
| gateway health plan | 3 | 3 | $48.00 | $74.08 | $74.08 | 1.5× |
| Anthem BCBS | 1 | 3 | $122.76 | $140.04 | $164.16 | 1.3× |
| jup pa health_wellness | 1 | 3 | $20.80 | $45.50 | $52.00 | 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 | $103.50 | $120.75 | $138.00 | 1.3× |
| independent health | 1 | 2 | $151.40 | $156.44 | $161.47 | 1.1× |
| prime net | 1 | 2 | $295.20 | $295.20 | $295.20 | 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× |
| 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 | $235.00 | $141.00 | $36.08 | $97.80 | $211.50 |
| Charles Cole Memorial Hospital | Coudersport | PA | 14 | $305.00 | $183.00 | $36.75 | $92.23 | $250.10 |
| Upmc Jameson | New Castle | PA | 12 | $360.00 | $216.00 | $17.84 | $86.10 | $316.80 |
| Wellsboro | Wellsboro | PA | 14 | $418.00 | $250.80 | $13.14 | $83.60 | $397.10 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 5 | $144.00 | — | $39.67 | $79.59 | $167.40 |
| Temple University Hospital | Philadelphia | PA | 16 | $519.00 | — | $8.78 | $75.00 | $181.65 |
| Curahealth Heritage Valley | Beaver | PA | 9 | $184.00 | $49.68 | $40.00 | $72.85 | $138.00 |
| Jeanes Hospital | Philadelphia | PA | 14 | $519.00 | — | $8.78 | $70.00 | $194.11 |
| Aria Health | Philadelphia | PA | 12 | $327.00 | — | $16.00 | $59.87 | $162.86 |
| Altoona Regional Health System | Altoona | PA | 12 | $384.00 | $230.40 | $20.00 | $53.87 | $307.20 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 12 | $384.00 | $230.40 | $20.00 | $53.87 | $307.20 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 12 | $384.00 | $230.40 | $20.00 | $53.87 | $307.20 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 12 | $384.00 | $230.40 | $20.00 | $53.87 | $307.20 |
| The Childrens Hospital Of Philadelp | Philadelphia | PA | 17 | $652.54 | $652.54 | $107.67 | $287.12 | $587.29 |
| Upmc Northwest Hospital | Seneca | PA | 13 | $311.00 | $186.60 | $36.08 | $186.60 | $3,704.00 |
| Upmc - Presbyterian Shadyside | Pittsburgh | PA | 5 | $710.00 | $426.00 | $53.29 | $184.50 | $603.50 |
| Upmc Shadyside | Pittsburgh | PA | 19 | $246.00 | $147.60 | $36.08 | $172.20 | $302.38 |
| Upmc Horizon Hospital | Greenville | PA | 17 | $360.00 | $216.00 | $36.08 | $141.12 | $306.00 |
| Upmc Bedford Memorial Hospital | Everett | PA | 17 | $202.00 | $121.20 | $36.08 | $126.96 | $181.80 |
| Upmc Mckeesport | Mckeesport | PA | 13 | $306.00 | $183.60 | $36.08 | $122.40 | $260.10 |
| Upmc East Hospital | Monroeville | PA | 13 | $311.00 | $186.60 | $36.08 | $121.29 | $278.02 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 15 | $418.00 | $250.80 | $38.50 | $120.90 | $376.20 |
| Lock Haven Hospital | Lock Haven | PA | 15 | $418.00 | $250.80 | $38.50 | $120.90 | $376.20 |
| Divine Providence Hospital | Williamsport | PA | 15 | $418.00 | $250.80 | $38.50 | $120.90 | $376.20 |
| Upmc Passavant | Pittsburgh | PA | 14 | $299.00 | $179.40 | $36.08 | $119.60 | $278.07 |
| Upmc Hamot | Erie | PA | 14 | $261.00 | $156.60 | $38.50 | $104.40 | $208.80 |
| Upmc St Margaret | Pittsburgh | PA | 12 | $306.00 | $183.60 | $36.08 | $103.80 | $278.02 |
| American Oncologic Hospial | Philadelphia | PA | 10 | $519.00 | — | $39.67 | $103.50 | $321.78 |
| St Christophers Hospital For Childr | Philadelphia | PA | 0 | $218.00 | $109.00 | — | — | — |
| Pennsylvania Psychiatric Institute | Harrisburg | PA | 0 | $303.00 | $51.99 | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | $303.00 | $72.39 | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | $270.00 | $67.50 | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | $575.00 | $287.50 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | $270.00 | $189.00 | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | $225.00 | $126.00 | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | $115.00 | $29.91 | — | — | — |
| Hospital Of The Univ Of Penna | Philadelphia | PA | 0 | $366.00 | $366.00 | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | $155.00 | $131.75 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | $270.00 | $67.50 | — | — | — |
| Wayne Memorial Hospital | Honesdale | PA | 0 | $184.00 | $128.80 | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | $270.00 | $67.50 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $167.00 | $66.80 | — | — | — |
| Westmoreland Regional Hospital | Greensburg | PA | 0 | $280.00 | $168.00 | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | $225.00 | $157.50 | — | — | — |
| 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 | $280.00 | $168.00 | — | — | — |
| Latrobe Area Hospital | Latrobe | PA | 0 | $280.00 | $168.00 | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | $777.00 | $777.00 | — | — | — |
| Pennsylvania Hospital Of Uphs | Philadelphia | PA | 0 | $366.00 | $366.00 | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $255.00 | — | — | — | — |
| Meyersdale Community Hospital | Meyersdale | PA | 0 | $162.00 | $64.80 | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $167.00 | $66.80 | — | — | — |
| Lifecare Hospitals Of Chester County | West Chester | PA | 0 | $342.00 | $342.00 | — | — | — |
| Allied Services Rehab Hospital | Scranton | PA | 0 | $136.00 | — | — | — | — |
| John Heinz Instit. Of Rehab Medicine | Wilkes-Barre | PA | 0 | $136.00 | — | — | — | — |
| Penn State Hershey Rehabilitation Ll | Hummelstown | PA | 0 | $115.00 | $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.