▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in PA
Hospitals
15
Min
$177.86
Median
$202.46
Max
$405.3
Range multiplier
2.3×
By payer (21 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 3 | 12 | $134.2 | $323.57 | $474.78 | 3.5× |
| Blue Cross Blue Shield | 3 | 12 | $160.5 | $368.08 | $867.37 | 5.4× |
| ibc | 2 | 7 | $177.86 | $177.86 | $177.86 | 1.0× |
| Medicaid | 1 | 6 | $100.66 | $151.95 | $271.01 | 2.7× |
| UnitedHealthcare | 2 | 6 | $102.97 | $184.57 | $366.48 | 3.6× |
| abington pro ibc | 1 | 6 | $174.79 | $196.45 | $233.8 | 1.3× |
| upmc health plan | 2 | 6 | $162.12 | $188.8 | $405.3 | 2.5× |
| Multiplan | 1 | 4 | $463.2 | $463.2 | $463.2 | 1.0× |
| jup health partners chip | 1 | 4 | $100.66 | $145.16 | $173.22 | 1.7× |
| Humana | 1 | 3 | $163.74 | $463.2 | $463.2 | 2.8× |
| pa health & wellness | 1 | 3 | $175.09 | $175.09 | $318.45 | 1.8× |
| geisinger | 1 | 3 | $318.45 | $434.25 | $463.2 | 1.5× |
| Medicare | 1 | 3 | $164.01 | $184.22 | $218.72 | 1.3× |
| amerihealth caritas | 1 | 3 | $162.12 | $166.17 | $166.17 | 1.0× |
| jup geisinger commercial | 1 | 3 | $295.2 | $330.79 | $389.41 | 1.3× |
| intergroup service corp | 1 | 2 | $183 | $262.5 | $342 | 1.9× |
| galaxy health plan | 1 | 2 | $463.2 | $463.2 | $463.2 | 1.0× |
| intergroup | 1 | 2 | $463.2 | $463.2 | $463.2 | 1.0× |
| jup pa health_wellness | 1 | 1 | $176.7 | $176.7 | $176.7 | 1.0× |
| Cigna | 1 | 1 | $170.23 | $170.23 | $170.23 | 1.0× |
| upmc work partners | 1 | 1 | $300.76 | $300.76 | $300.76 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 12 | $579 | $347.4 | $160.5 | $405.3 | $867.37 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 5 | $456 | $123.12 | $102.97 | $202.46 | $456 |
| ARIA HEALTH | PHILADELPHIA | PA | 10 | $360 | $185.68 | $100.66 | $187.27 | $441.46 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 1 | — | — | $177.86 | $177.86 | $177.86 |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | $311 | $264.35 | — | — | — |
| POTTSTOWN MEMORIAL MEDICAL CENTER | POTTSTOWN | PA | 0 | $621 | $155.25 | — | — | — |
| PHOENIXVILLE HOSPITAL | PHOENIXVILLE | PA | 0 | $621 | $155.25 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | — | — | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $50 | — | — | — | — |
| PENNSYLVANIA PSYCHIATRIC INSTITUTE | HARRISBURG | PA | 0 | $493 | $84.6 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $493 | $117.78 | — | — | — |
| HAVEN BEHAVIORAL SVCS OF READING LLC | READING | PA | 0 | $400 | — | — | — | — |
| CHESTNUT HILL HOSPITAL | PHILADELPHIA | PA | 0 | $621 | $155.25 | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | $621 | $434.7 | — | — | — |
| 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.