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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in PA

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Hospitals
14
Min
$134.44
Median
$153.08
Max
$282.80
Range multiplier
2.1×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield312$111.99$259.12$650.565.8×
Aetna312$96.25$219.47$331.283.4×
upmc health plan27$113.12$175.00$282.802.5×
ibc26$134.44$134.44$134.441.0×
UnitedHealthcare26$73.85$131.25$250.123.4×
Medicaid16$68.27$109.08$203.263.0×
Multiplan14$323.20$323.20$323.201.0×
jup health partners chip14$68.27$103.99$118.221.7×
abington pro ibc14$118.85$144.10$158.971.3×
Humana13$114.25$323.20$323.202.8×
pa health & wellness13$122.17$122.17$222.201.8×
geisinger13$222.20$303.00$323.201.5×
Medicare13$111.96$125.75$149.301.3×
amerihealth caritas13$113.12$115.95$115.951.0×
jup geisinger commercial13$201.50$225.80$265.811.3×
intergroup service corp12$131.25$181.13$231.001.8×
galaxy health plan12$323.20$323.20$323.201.0×
intergroup12$323.20$323.20$323.201.0×
jup pa health_wellness11$132.52$132.52$132.521.0×
Cigna11$118.78$118.78$118.781.0×
upmc work partners11$251.27$251.27$251.271.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Charles Cole Memorial HospitalCoudersportPA12$404.00$242.40$111.99$282.80$650.56
Curahealth Heritage ValleyBeaverPA5$308.00$83.16$73.85$153.08$308.00
Aria HealthPhiladelphiaPA10$245.00$139.00$68.27$144.10$299.42
Thomas Jefferson Univ. HospitalPhiladelphiaPA1$134.44$134.44$134.44
Windber Hospital Inc.WindberPA0$212.00$180.20
Pottstown Memorial Medical CenterPottstownPA0$420.00$105.00
Phoenixville HospitalPhoenixvillePA0$420.00$105.00
Butler Memorial HospitalButlerPA0
Physicians Care Surgical HospitalRoyersfordPA0$50.00
Holy Spirit HospitalCamp HillPA0$372.00$88.87
Haven Behavioral Svcs Of Reading LlcReadingPA0$373.00
Chestnut Hill HospitalPhiladelphiaPA0$420.00$105.00
Reading Hospital And Medical CenterReadingPA0$420.00$294.00
Clarion HospitalClarionPA0

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.