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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in PA

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Hospitals
57
Min
$74.70
Median
$124.00
Max
$430.12
Range multiplier
5.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna28253$13.18$113.72$488.7737.1×
Blue Cross Blue Shield27246$15.80$110.58$1,261.2679.8×
Cigna24103$16.59$110.49$568.2034.2×
UnitedHealthcare2692$16.91$106.02$537.6531.8×
Multiplan1185$61.62$207.90$782.0312.7×
upmc health plan2469$16.12$61.61$318.5019.8×
intergroup1458$71.10$210.00$3,704.0052.1×
geisinger1745$27.80$75.64$365.1513.1×
First Health1343$77.66$252.00$635.408.2×
pa health & wellness2034$17.06$92.74$137.598.1×
amerihealth caritas2130$31.22$84.96$130.594.2×
private health care systems1427$157.62$323.20$782.035.0×
wirerope works424$43.92$106.75$303.026.9×
america's choice424$71.10$165.05$490.506.9×
Humana922$67.31$323.85$388.745.8×
upmc work partners2020$122.03$128.91$138.031.1×
Medicaid317$52.32$81.17$161.293.1×
health partners plans (jefferson health plan)1115$30.16$82.07$82.072.7×
keystone first514$66.94$133.09$167.402.5×
preferred healthcare system612$182.00$228.50$228.501.3×
health payors organization310$238.00$252.00$804.953.4×
three rivers provider network39$139.50$145.01$490.503.5×
selectcare48$213.30$264.40$323.201.5×
fidelis28$210.00$270.38$710.253.4×
prime health services38$64.80$161.70$214.803.3×
Oscar Health38$36.72$91.63$121.723.3×
health partners plans36$52.32$52.32$52.321.0×
occunet26$75.60$188.65$250.603.3×
innovage26$54.00$134.75$179.003.3×
health coalition partners46$213.30$224.00$292.601.4×
ibc26$100.02$100.02$100.021.0×
abington pro ibc15$80.56$86.83$108.401.3×
qualcare25$334.18$443.92$537.651.6×
national provider network24$229.60$298.72$367.841.6×
galaxy health plan14$190.40$277.20$364.001.9×
gateway health plan33$65.30$109.00$109.001.7×
Anthem BCBS13$142.54$162.60$190.611.3×
jup health partners chip13$54.42$60.00$78.051.4×
Medicare13$63.21$71.00$84.301.3×
pennsylvania health and wellness33$121.49$121.49$121.491.0×
univera13$44.55$98.01$130.682.9×
prime net12$342.76$342.76$342.761.0×
pa health_wellness chc22$78.00$78.00$78.001.0×
jup geisinger commercial12$113.77$131.93$150.081.3×
magellan health12$84.25$538.63$993.0011.8×
intergroup service corp12$123.00$160.88$198.751.6×
independent health12$151.40$156.44$161.471.1×
health plan of upper ohio valley11$193.12$193.12$193.121.0×
health partners11$184.27$184.27$184.271.0×
geisinger medical assistance11$391.02$391.02$391.021.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Temple University HospitalPhiladelphiaPA16$716.00$13.18$99.77$1,201.20
Aria HealthPhiladelphiaPA13$418.00$54.42$84.34$238.06
Jeanes HospitalPhiladelphiaPA14$716.00$13.18$83.99$1,261.26
Upmc Magee-Womens HospitalPittsburghPA12$457.00$274.20$20.00$80.70$365.60
Upmc Childrens Hospital Of PghPittsburghPA12$457.00$274.20$20.00$80.70$365.60
The Childrens Home Of PittsburghPittsburghPA12$457.00$274.20$20.00$80.70$365.60
Altoona Regional Health SystemAltoonaPA12$457.00$274.20$20.00$80.70$365.60
WellsboroWellsboroPA14$545.00$327.00$14.22$74.70$517.75
The Childrens Hospital Of PhiladelpPhiladelphiaPA17$977.54$977.54$161.29$430.12$879.79
Upmc - Presbyterian ShadysidePittsburghPA5$947.00$568.20$62.45$238.00$804.95
Upmc Northwest HospitalSenecaPA13$336.00$201.60$36.08$201.60$3,704.00
Upmc ShadysidePittsburghPA19$280.00$168.00$36.08$196.00$364.09
Upmc Horizon HospitalGreenvillePA17$418.00$250.80$36.08$164.75$355.30
Upmc MckeesportMckeesportPA13$404.00$242.40$36.08$161.60$343.40
Upmc PassavantPittsburghPA14$418.00$250.80$36.08$159.62$388.74
Upmc Bedford Memorial HospitalEverettPA17$237.00$142.20$36.08$148.96$213.30
Upmc East HospitalMonroevillePA13$360.00$216.00$36.08$140.40$334.76
Charles Cole Memorial HospitalCoudersportPA14$455.00$273.00$51.57$137.59$373.10
Upmc St MargaretPittsburghPA12$381.00$228.60$36.08$125.62$334.76
Williamsport Hospital & Medical CtrWilliamsportPA15$545.00$327.00$41.85$124.00$490.50
Divine Providence HospitalWilliamsportPA15$545.00$327.00$41.85$124.00$490.50
Lock Haven HospitalLock HavenPA15$545.00$327.00$41.85$124.00$490.50
Upmc Mercy HospitalPittsburghPA16$280.00$168.00$36.08$122.77$252.00
Upmc JamesonNew CastlePA12$418.00$250.80$23.27$122.03$367.84
American Oncologic HospialPhiladelphiaPA10$716.00$52.32$120.88$443.92
Upmc HamotEriePA14$297.00$178.20$44.55$118.80$247.66
Curahealth Heritage ValleyBeaverPA9$265.00$71.55$54.42$102.69$198.75
Thomas Jefferson Univ. HospitalPhiladelphiaPA5$150.00$52.32$100.02$167.40
St Christophers Hospital For ChildrPhiladelphiaPA0$242.00$121.00
Pennsylvania Psychiatric InstituteHarrisburgPA0$392.00$67.27
Holy Spirit HospitalCamp HillPA0$392.00$93.65
Chestnut Hill HospitalPhiladelphiaPA0$333.00$83.25
Uniontown HospitalUniontownPA0$434.00$217.00
Reading Hospital And Medical CenterReadingPA0$333.00$233.10
Clarion HospitalClarionPA0$275.00$154.00
St. Joseph Medical CenterReadingPA0$115.00$29.91
Hospital Of The Univ Of PennaPhiladelphiaPA0$518.00$518.00
Windber Hospital Inc.WindberPA0$220.00$187.00
Pottstown Memorial Medical CenterPottstownPA0$333.00$83.25
Wayne Memorial HospitalHonesdalePA0$229.00$160.30
Phoenixville HospitalPhoenixvillePA0$333.00$83.25
Miners HospitalHastingsPA0$188.00$75.20
Westmoreland Regional HospitalGreensburgPA0$290.00$174.00
Butler Memorial HospitalButlerPA0$275.00$192.50
The Chester County HospitalWest ChesterPA0$342.00$342.00
Doylestown HospitalDoylestownPA0$359.00$359.00
Frick HospitalMount PleasantPA0$290.00$174.00
Latrobe Area HospitalLatrobePA0$290.00$174.00
Presbyterian Medical CenterPhiladelphiaPA0$965.00$965.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$518.00$518.00
Physicians Care Surgical HospitalRoyersfordPA0$378.00
Meyersdale Community HospitalMeyersdalePA0$193.00$77.20
Miners HospitalHastingsPA0$188.00$75.20
Lifecare Hospitals Of Chester CountyWest ChesterPA0$342.00$342.00
Allied Services Rehab HospitalScrantonPA0$184.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$184.00
Penn State Hershey Rehabilitation LlHummelstownPA0$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.