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CPT 99281 · negotiated-rate distribution across hospitals in PA

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Hospitals
55
Min
$28.81
Median
$176.68
Max
$1,308.00
Range multiplier
45.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26178$14.40$165.36$2,095.00145.5×
Blue Cross Blue Shield25154$16.00$142.49$1,885.00117.8×
Cigna2487$16.80$173.60$322.0019.2×
UnitedHealthcare2383$21.05$96.00$1,658.0078.8×
upmc health plan2477$16.32$98.90$397.5024.4×
Multiplan1166$57.00$328.38$558.609.8×
intergroup1550$66.40$336.80$3,704.0055.8×
pa health & wellness2148$17.28$90.67$2,315.52134.0×
First Health1334$158.40$251.30$359.802.3×
geisinger1832$29.19$218.08$1,428.1048.9×
private health care systems1326$60.00$347.20$499.208.3×
Humana1125$23.47$204.00$436.9018.6×
amerihealth caritas2024$17.81$86.47$2,208.32124.0×
upmc work partners2121$48.64$51.60$52.161.1×
wirerope works516$44.48$234.08$326.937.4×
america's choice516$72.00$336.80$529.207.4×
preferred healthcare system612$287.20$312.00$334.101.2×
selectcare48$318.40$335.15$411.201.3×
three rivers provider network48$55.20$217.05$378.906.9×
health partners plans26$50.00$50.00$90.401.8×
health coalition partners46$168.00$323.10$411.202.4×
Medicaid26$19.45$38.00$449.7223.1×
keystone first26$93.06$493.56$493.565.3×
abington pro ibc15$19.47$20.86$26.041.3×
pa health_wellness chc24$20.80$24.05$27.301.3×
galaxy health plan14$66.40$124.00$181.602.7×
gateway health plan34$23.10$95.58$110.794.8×
health partners plans (jefferson health plan)44$31.67$31.67$31.671.0×
health payors organization24$436.90$443.45$450.001.0×
ibc24$878.00$1,142.50$1,308.001.5×
national provider network24$84.48$247.24$410.004.9×
pennsylvania health and wellness24$97.49$309.28$521.075.3×
fidelis23$96.88$385.50$385.504.0×
occunet33$104.94$132.94$132.941.3×
univera13$96.15$211.53$282.042.9×
Anthem BCBS13$81.84$109.44$310.003.8×
jup geisinger commercial13$30.33$33.99$40.011.3×
jup health partners chip13$19.45$20.00$26.001.3×
health plan of upper ohio valley13$83.95$83.95$141.371.7×
Medicare13$16.85$18.93$22.471.3×
prime health services22$141.08$141.08$141.081.0×
innovage22$90.40$90.40$90.401.0×
clover health22$93.95$93.95$93.951.0×
prime net12$196.80$196.80$196.801.0×
Oscar Health22$132.94$132.94$132.941.0×
naphcare22$132.94$132.94$132.941.0×
independent health12$220.00$228.00$236.001.1×
elder health22$106.36$106.36$106.361.0×
geisinger health plan11$2,391.15$2,391.15$2,391.151.0×
intergroup service corp11$356.25$356.25$356.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc Horizon HospitalGreenvillePA16$240.00$144.00$51.26$96.00$310.00
Curahealth Heritage ValleyBeaverPA9$475.00$128.25$19.43$91.95$475.00
Upmc JamesonNew CastlePA13$96.00$57.60$51.26$84.48$356.00
Charles Cole Memorial HospitalCoudersportPA13$227.00$136.20$18.26$66.40$334.00
Upmc ShadysidePittsburghPA19$514.00$308.40$52.16$359.80$464.52
Aria HealthPhiladelphiaPA11$1,573.00$95.16$16.85$28.81$1,529.00
Muncy Valley HospitalMuncyPA15$421.00$252.60$51.60$277.86$2,315.52
WellsboroWellsboroPA13$588.00$352.80$14.40$234.08$558.60
Williamsport Hospital & Medical CtrWilliamsportPA15$421.00$252.60$51.60$227.13$378.90
Divine Providence HospitalWilliamsportPA15$421.00$252.60$51.60$227.13$378.90
Lock Haven HospitalLock HavenPA15$421.00$252.60$51.60$227.13$378.90
Upmc Bedford Memorial HospitalEverettPA16$359.00$215.40$30.29$222.58$323.10
Upmc HamotEriePA15$641.00$384.60$51.60$220.00$512.80
Upmc Northwest HospitalSenecaPA13$355.00$213.00$51.26$205.90$3,704.00
Upmc Mercy HospitalPittsburghPA15$500.00$300.00$52.16$200.00$450.00
Upmc Magee-Womens HospitalPittsburghPA12$624.00$374.40$21.00$176.68$499.20
Upmc Childrens Hospital Of PghPittsburghPA12$624.00$374.40$21.00$176.68$499.20
Altoona Regional Health SystemAltoonaPA12$624.00$374.40$21.00$176.68$499.20
The Childrens Home Of PittsburghPittsburghPA12$624.00$374.40$21.00$176.68$499.20
Upmc MckeesportMckeesportPA12$434.00$260.40$51.60$173.60$368.90
Upmc East HospitalMonroevillePA12$434.00$260.40$51.60$169.26$427.09
Upmc St MargaretPittsburghPA10$398.00$238.80$51.60$151.24$427.09
Temple University HospitalPhiladelphiaPA19$1,590.00$50.00$132.94$1,885.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA6$1,573.00$99.62$20.80$1,308.00$2,391.15
Jeanes HospitalPhiladelphiaPA18$1,590.00$50.00$124.93$1,428.10
Upmc PassavantPittsburghPA14$306.00$183.60$51.60$122.40$407.30
Westmoreland Regional HospitalGreensburgPA0$307.00$184.20
Armstrong County MemorialKittanningPA0$366.00$109.80
Butler Memorial HospitalButlerPA0$200.00$140.00
St. Joseph Medical CenterReadingPA0$572.00$148.78
The Chester County HospitalWest ChesterPA0$642.00$642.00
Doylestown HospitalDoylestownPA0$1,605.00$1,605.00
Frick HospitalMount PleasantPA0$307.00$184.20
Latrobe Area HospitalLatrobePA0$307.00$184.20
Presbyterian Medical CenterPhiladelphiaPA0$642.00$642.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$1,314.00$1,314.00
Milton S. Hershey Medical CenterHersheyPA0$572.00$189.50
Physicians Care Surgical HospitalRoyersfordPA0$225.93$27.63
Hampden Medical CenterEnolaPA0$572.00$180.01
Clarion HospitalClarionPA0$200.00$112.00
Meyersdale Community HospitalMeyersdalePA0$185.00$74.00
Reading Hospital And Medical CenterReadingPA0$365.00$255.50
Miners HospitalHastingsPA0$174.00$69.60
Uniontown HospitalUniontownPA0$365.00$182.50
Lifecare Hospitals Of Chester CountyWest ChesterPA0$642.00$642.00
Penn State Hershey Rehabilitation LlHummelstownPA0$572.00$148.78
Chestnut Hill HospitalPhiladelphiaPA0$365.00$91.25
St Christophers Hospital For ChildrPhiladelphiaPA0$647.00$323.50
Windber Hospital Inc.WindberPA0$128.00$108.80
Holy Spirit HospitalCamp HillPA0$572.00$136.65
Hospital Of The Univ Of PennaPhiladelphiaPA0$1,314.00$1,314.00
Pottstown Memorial Medical CenterPottstownPA0$365.00$91.25
Wayne Memorial HospitalHonesdalePA0$67.00$46.90
Phoenixville HospitalPhoenixvillePA0$365.00$91.25
Miners HospitalHastingsPA0$174.00$69.60

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.