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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in PA

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Hospitals
15
Min
$177.86
Median
$202.46
Max
$405.30
Range multiplier
2.3×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna312$134.20$323.57$474.783.5×
Blue Cross Blue Shield312$160.50$368.08$867.375.4×
ibc27$177.86$177.86$177.861.0×
Medicaid16$100.66$151.95$271.012.7×
UnitedHealthcare26$102.97$184.57$366.483.6×
abington pro ibc16$174.79$196.45$233.801.3×
upmc health plan26$162.12$188.80$405.302.5×
Multiplan14$463.20$463.20$463.201.0×
jup health partners chip14$100.66$145.16$173.221.7×
Humana13$163.74$463.20$463.202.8×
pa health & wellness13$175.09$175.09$318.451.8×
geisinger13$318.45$434.25$463.201.5×
Medicare13$164.01$184.22$218.721.3×
amerihealth caritas13$162.12$166.17$166.171.0×
jup geisinger commercial13$295.20$330.79$389.411.3×
intergroup service corp12$183.00$262.50$342.001.9×
galaxy health plan12$463.20$463.20$463.201.0×
intergroup12$463.20$463.20$463.201.0×
jup pa health_wellness11$176.70$176.70$176.701.0×
Cigna11$170.23$170.23$170.231.0×
upmc work partners11$300.76$300.76$300.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Charles Cole Memorial HospitalCoudersportPA12$579.00$347.40$160.50$405.30$867.37
Curahealth Heritage ValleyBeaverPA5$456.00$123.12$102.97$202.46$456.00
Aria HealthPhiladelphiaPA10$360.00$185.68$100.66$187.27$441.46
Thomas Jefferson Univ. HospitalPhiladelphiaPA1$177.86$177.86$177.86
Windber Hospital Inc.WindberPA0$311.00$264.35
Pottstown Memorial Medical CenterPottstownPA0$621.00$155.25
Phoenixville HospitalPhoenixvillePA0$621.00$155.25
Butler Memorial HospitalButlerPA0
Physicians Care Surgical HospitalRoyersfordPA0$50.00
Pennsylvania Psychiatric InstituteHarrisburgPA0$493.00$84.60
Holy Spirit HospitalCamp HillPA0$493.00$117.78
Haven Behavioral Svcs Of Reading LlcReadingPA0$400.00
Chestnut Hill HospitalPhiladelphiaPA0$621.00$155.25
Reading Hospital And Medical CenterReadingPA0$621.00$434.70
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.