▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in PA
Hospitals
14
Min
$85.40
Median
$105.39
Max
$153.75
Range multiplier
1.8×
By payer (21 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 3 | 12 | $58.30 | $171.65 | $244.73 | 4.2× |
| Blue Cross Blue Shield | 3 | 12 | $56.83 | $184.65 | $415.10 | 7.3× |
| upmc health plan | 2 | 7 | $57.40 | $106.00 | $187.82 | 3.3× |
| ibc | 2 | 7 | $85.40 | $85.40 | $85.40 | 1.0× |
| UnitedHealthcare | 2 | 6 | $44.73 | $92.08 | $185.57 | 4.1× |
| Medicaid | 1 | 6 | $50.77 | $73.52 | $129.70 | 2.6× |
| abington pro ibc | 1 | 5 | $88.55 | $104.18 | $118.46 | 1.3× |
| Multiplan | 1 | 4 | $164.00 | $164.00 | $164.00 | 1.0× |
| jup health partners chip | 1 | 4 | $50.77 | $70.27 | $87.71 | 1.7× |
| Humana | 1 | 3 | $57.97 | $164.00 | $164.00 | 2.8× |
| pa health & wellness | 1 | 3 | $61.99 | $61.99 | $112.75 | 1.8× |
| geisinger | 1 | 3 | $112.75 | $153.75 | $164.00 | 1.5× |
| Medicare | 1 | 3 | $82.83 | $93.03 | $110.46 | 1.3× |
| amerihealth caritas | 1 | 3 | $57.40 | $58.84 | $58.84 | 1.0× |
| jup geisinger commercial | 1 | 3 | $149.08 | $167.05 | $196.66 | 1.3× |
| intergroup service corp | 1 | 2 | $79.50 | $128.25 | $177.00 | 2.2× |
| galaxy health plan | 1 | 2 | $164.00 | $164.00 | $164.00 | 1.0× |
| intergroup | 1 | 2 | $164.00 | $164.00 | $164.00 | 1.0× |
| jup pa health_wellness | 1 | 1 | $84.57 | $84.57 | $84.57 | 1.0× |
| Cigna | 1 | 1 | $60.27 | $60.27 | $60.27 | 1.0× |
| upmc work partners | 1 | 1 | $151.43 | $151.43 | $151.43 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aria Health | Philadelphia | PA | 10 | $175.00 | $88.84 | $50.77 | $96.01 | $244.73 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 1 | — | — | $85.40 | $85.40 | $85.40 |
| Charles Cole Memorial Hospital | Coudersport | PA | 12 | $205.00 | $123.00 | $56.83 | $153.75 | $415.10 |
| Curahealth Heritage Valley | Beaver | PA | 5 | $236.00 | $63.72 | $44.73 | $105.39 | $236.00 |
| Windber Hospital Inc. | Windber | PA | 0 | $157.00 | $133.45 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | $312.00 | $78.00 | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | $312.00 | $78.00 | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | — | — | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $50.00 | — | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | $236.00 | $56.38 | — | — | — |
| Haven Behavioral Svcs Of Reading Llc | Reading | PA | 0 | $205.00 | — | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | $312.00 | $78.00 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | $312.00 | $218.40 | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | — | — | — | — | — |
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.