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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in PA

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Hospitals
56
Min
$99.90
Median
$144.19
Max
$296.00
Range multiplier
3.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27249$18.30$148.21$605.8333.1×
Blue Cross Blue Shield26234$21.20$138.63$1,261.2659.5×
Cigna23101$22.26$121.18$709.2031.9×
UnitedHealthcare2589$21.00$106.02$596.7028.4×
Multiplan1084$82.68$264.00$888.1510.7×
upmc health plan2469$21.62$85.86$429.1019.8×
intergroup1458$95.40$268.80$3,704.0038.8×
geisinger1745$27.80$108.48$490.4017.6×
First Health1242$77.66$296.10$668.508.6×
pa health & wellness2034$22.90$133.01$185.378.1×
amerihealth caritas2130$31.22$121.84$175.935.6×
private health care systems1326$245.72$388.00$888.153.6×
wirerope works424$58.94$132.89$390.316.6×
america's choice424$95.40$207.35$631.806.6×
Humana922$93.32$380.80$888.159.5×
upmc work partners2020$187.68$200.20$218.411.2×
Medicaid216$71.73$107.40$155.622.2×
health partners plans (jefferson health plan)1115$30.16$117.70$117.703.9×
keystone first514$73.80$167.40$217.763.0×
preferred healthcare system612$217.10$286.50$286.501.3×
health payors organization310$283.90$302.40$1,004.703.5×
three rivers provider network39$139.50$226.06$631.804.5×
prime health services38$90.00$214.80$267.303.0×
fidelis28$250.50$347.63$886.503.5×
selectcare48$264.60$314.40$551.202.1×
Oscar Health38$51.00$121.72$151.473.0×
innovage26$75.00$179.00$222.753.0×
ibc26$148.58$148.58$148.581.0×
occunet26$105.00$250.60$311.853.0×
health coalition partners46$264.60$267.20$349.201.3×
health partners plans36$71.73$71.73$71.731.0×
galaxy health plan14$264.00$377.20$490.401.9×
national provider network24$275.52$334.88$394.241.4×
qualcare14$443.92$498.17$552.421.2×
Anthem BCBS13$152.77$174.27$204.291.3×
jup health partners chip13$78.05$110.17$125.471.6×
gateway health plan33$93.66$162.06$162.061.7×
abington pro ibc13$118.67$118.67$127.901.1×
univera13$51.45$113.19$150.922.9×
pennsylvania health and wellness33$174.25$174.25$174.251.0×
prime net12$367.36$367.36$367.361.0×
magellan health12$124.10$558.55$993.008.0×
intergroup service corp12$144.00$204.38$264.751.8×
jup community behavioral health12$171.72$179.04$186.361.1×
independent health12$151.40$156.44$161.471.1×
Medicare11$89.06$89.06$89.061.0×
jab health partners11$71.73$71.73$71.731.0×
pa health and wellness inc11$93.66$93.66$93.661.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
health plan of upper ohio valley11$441.21$441.21$441.211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WellsboroWellsboroPA14$702.00$421.20$19.08$99.90$666.90
Upmc - Presbyterian ShadysidePittsburghPA5$1,182.00$709.20$72.83$296.00$1,004.70
Upmc Northwest HospitalSenecaPA13$485.00$291.00$36.08$291.00$3,704.00
Upmc MckeesportMckeesportPA13$689.00$413.40$36.08$261.82$585.65
Upmc PassavantPittsburghPA14$955.00$573.00$36.08$245.72$888.15
Upmc ShadysidePittsburghPA19$334.00$200.40$36.08$233.80$423.12
Upmc Bedford Memorial HospitalEverettPA17$294.00$176.40$36.08$187.48$264.60
Charles Cole Memorial HospitalCoudersportPA14$613.00$367.80$59.28$185.37$502.66
Upmc Horizon HospitalGreenvillePA17$448.00$268.80$36.08$179.20$380.80
Upmc East HospitalMonroevillePA13$423.00$253.80$36.08$164.97$389.03
American Oncologic HospialPhiladelphiaPA10$891.00$71.73$164.33$552.42
Curahealth Heritage ValleyBeaverPA9$353.00$95.31$78.05$159.69$264.75
Upmc JamesonNew CastlePA12$448.00$268.80$26.75$148.23$394.24
Upmc St MargaretPittsburghPA12$452.00$271.20$36.08$145.99$389.03
Upmc Mercy HospitalPittsburghPA16$336.00$201.60$36.08$144.19$302.40
Thomas Jefferson Univ. HospitalPhiladelphiaPA5$322.00$71.73$139.71$217.76
Upmc HamotEriePA14$343.00$205.80$51.45$137.20$333.55
Temple University HospitalPhiladelphiaPA16$891.00$18.30$132.41$1,201.20
Divine Providence HospitalWilliamsportPA15$702.00$421.20$41.85$128.51$631.80
Williamsport Hospital & Medical CtrWilliamsportPA15$702.00$421.20$41.85$128.51$631.80
Lock Haven HospitalLock HavenPA15$702.00$421.20$41.85$128.51$631.80
Aria HealthPhiladelphiaPA12$570.00$71.73$118.67$271.10
Jeanes HospitalPhiladelphiaPA14$891.00$18.30$116.69$1,261.26
Upmc Childrens Hospital Of PghPittsburghPA12$573.00$343.80$20.00$115.75$458.40
The Childrens Home Of PittsburghPittsburghPA12$573.00$343.80$20.00$115.75$458.40
Altoona Regional Health SystemAltoonaPA12$573.00$343.80$20.00$115.75$458.40
Upmc Magee-Womens HospitalPittsburghPA12$573.00$343.80$20.00$115.75$458.40
Penn State Hershey Rehabilitation LlHummelstownPA0$115.00$29.91
St Christophers Hospital For ChildrPhiladelphiaPA0$311.00$155.50
Pennsylvania Psychiatric InstituteHarrisburgPA0$526.00$90.26
Holy Spirit HospitalCamp HillPA0$526.00$125.66
Chestnut Hill HospitalPhiladelphiaPA0$422.00$105.50
Uniontown HospitalUniontownPA0$405.00$202.50
Reading Hospital And Medical CenterReadingPA0$422.00$295.40
Clarion HospitalClarionPA0$325.00$182.00
St. Joseph Medical CenterReadingPA0$115.00$29.91
Hospital Of The Univ Of PennaPhiladelphiaPA0$1,294.00$1,294.00
Windber Hospital Inc.WindberPA0$305.00$259.25
Pottstown Memorial Medical CenterPottstownPA0$422.00$105.50
Wayne Memorial HospitalHonesdalePA0$262.00$183.40
Phoenixville HospitalPhoenixvillePA0$422.00$105.50
Miners HospitalHastingsPA0$220.00$88.00
Westmoreland Regional HospitalGreensburgPA0$314.00$188.40
Butler Memorial HospitalButlerPA0$325.00$227.50
The Chester County HospitalWest ChesterPA0$342.00$342.00
Doylestown HospitalDoylestownPA0$359.00$359.00
Frick HospitalMount PleasantPA0$314.00$188.40
Latrobe Area HospitalLatrobePA0$300.00$180.00
Presbyterian Medical CenterPhiladelphiaPA0$1,232.00$1,232.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$1,294.00$1,294.00
Physicians Care Surgical HospitalRoyersfordPA0$480.00
Meyersdale Community HospitalMeyersdalePA0$229.00$91.60
Miners HospitalHastingsPA0$220.00$88.00
Lifecare Hospitals Of Chester CountyWest ChesterPA0$342.00$342.00
Allied Services Rehab HospitalScrantonPA0$277.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$277.00

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.