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ED visit level 2

CPT 99282 · negotiated-rate distribution across hospitals in PA

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Hospitals
55
Min
$65.76
Median
$264.38
Max
$1,308.00
Range multiplier
19.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26184$29.52$256.18$2,095.0071.0×
Blue Cross Blue Shield25162$32.43$230.27$1,885.0058.1×
upmc health plan2499$32.76$151.39$392.6612.0×
UnitedHealthcare2696$34.63$164.57$1,658.0047.9×
Cigna2487$34.40$282.80$564.0016.4×
Multiplan1166$88.16$528.84$853.609.7×
intergroup1550$93.60$542.40$3,704.0039.6×
pa health & wellness2145$35.38$59.65$2,315.5265.4×
amerihealth caritas2241$29.54$52.19$2,208.3274.8×
geisinger1836$36.28$101.74$1,428.1039.4×
First Health1334$259.38$413.60$761.602.9×
private health care systems1326$92.80$659.56$870.409.4×
Humana1125$33.09$334.05$878.9026.6×
upmc work partners2121$73.19$79.81$84.111.1×
america's choice516$147.60$542.40$610.204.1×
wirerope works516$91.18$376.97$376.974.1×
preferred healthcare system612$413.50$413.50$672.101.6×
health partners plans (jefferson health plan)1111$49.73$49.73$52.781.1×
three rivers provider network48$85.38$347.79$610.207.1×
selectcare48$448.80$499.90$827.201.8×
Medicaid28$35.00$47.75$449.7212.8×
keystone first26$169.46$493.56$493.562.9×
health coalition partners46$275.10$487.80$827.203.0×
health partners plans26$50.00$50.00$164.623.3×
gateway health plan34$38.50$174.89$201.745.2×
galaxy health plan14$93.60$186.80$280.003.0×
national provider network24$331.76$551.28$770.802.3×
health payors organization24$846.00$862.45$878.901.0×
ibc24$878.00$1,142.50$1,308.001.5×
pennsylvania health and wellness24$177.53$349.30$521.072.9×
abington pro ibc13$37.71$44.37$50.451.3×
Anthem BCBS13$134.01$179.21$310.002.3×
fidelis23$174.25$775.50$775.504.5×
health plan of upper ohio valley13$150.98$150.98$326.632.2×
jup health partners chip13$35.00$37.34$45.501.3×
occunet33$188.72$242.09$242.091.3×
pa health_wellness chc23$39.00$39.00$45.501.2×
univera13$160.05$352.11$469.482.9×
jup geisinger commercial12$67.17$73.12$79.071.2×
jup community behavioral health12$302.50$315.81$329.121.1×
innovage22$164.62$164.62$164.621.0×
prime health services22$256.90$256.90$256.901.0×
prime net12$322.26$322.26$322.261.0×
independent health12$409.00$424.50$440.001.1×
geisinger health plan22$2,391.15$2,391.15$2,391.151.0×
elder health22$193.67$193.67$193.671.0×
clover health22$171.07$171.07$171.071.0×
Medicare12$33.30$35.35$37.401.1×
naphcare22$242.09$242.09$242.091.0×
Oscar Health22$242.09$242.09$242.091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Charles Cole Memorial HospitalCoudersportPA14$350.00$210.00$30.27$98.00$334.00
Upmc ShadysidePittsburghPA20$1,034.00$620.40$36.28$672.10$878.90
Aria HealthPhiladelphiaPA14$2,095.00$173.28$33.30$65.76$2,391.15
Upmc East HospitalMonroevillePA13$1,088.00$652.80$36.28$369.92$870.40
Muncy Valley HospitalMuncyPA15$678.00$406.80$36.28$358.66$2,315.52
Upmc Mercy HospitalPittsburghPA16$940.00$564.00$36.28$325.50$846.00
Lock Haven HospitalLock HavenPA15$678.00$406.80$36.28$323.41$610.20
Divine Providence HospitalWilliamsportPA15$678.00$406.80$36.28$323.41$610.20
Williamsport Hospital & Medical CtrWilliamsportPA15$678.00$406.80$36.28$323.41$610.20
Upmc HamotEriePA16$1,067.00$640.20$36.28$304.10$853.60
WellsboroWellsboroPA14$678.00$492.00$29.52$295.61$644.10
Upmc Bedford Memorial HospitalEverettPA17$542.00$325.20$34.63$290.91$487.80
Upmc Magee-Womens HospitalPittsburghPA12$827.00$496.20$35.00$264.38$661.60
Altoona Regional Health SystemAltoonaPA12$827.00$496.20$35.00$264.38$661.60
Upmc Childrens Hospital Of PghPittsburghPA12$827.00$496.20$35.00$264.38$661.60
The Childrens Home Of PittsburghPittsburghPA12$827.00$496.20$35.00$264.38$661.60
Upmc MckeesportMckeesportPA13$640.00$384.00$36.28$253.44$544.00
Temple University HospitalPhiladelphiaPA20$2,317.00$32.98$249.50$1,885.00
Upmc PassavantPittsburghPA14$707.00$424.20$36.28$230.22$657.51
Jeanes HospitalPhiladelphiaPA18$2,317.00$50.00$227.49$1,428.10
Upmc Northwest HospitalSenecaPA13$442.00$265.20$36.28$215.55$3,704.00
Upmc St MargaretPittsburghPA12$561.00$336.60$36.28$177.43$646.64
Curahealth Heritage ValleyBeaverPA9$568.00$153.36$32.22$165.33$568.00
Upmc JamesonNew CastlePA13$377.00$226.20$34.91$160.30$356.00
Upmc Horizon HospitalGreenvillePA17$393.00$235.80$36.28$157.20$334.05
Thomas Jefferson Univ. HospitalPhiladelphiaPA6$2,095.00$181.40$39.00$1,308.00$2,391.15
Phoenixville HospitalPhoenixvillePA0$969.00$242.25
Miners HospitalHastingsPA0$300.00$120.00
Westmoreland Regional HospitalGreensburgPA0$428.00$256.80
Armstrong County MemorialKittanningPA0$551.00$165.30
Butler Memorial HospitalButlerPA0$400.00$280.00
The Chester County HospitalWest ChesterPA0$1,118.00$1,118.00
Doylestown HospitalDoylestownPA0$1,605.00$1,605.00
Frick HospitalMount PleasantPA0$428.00$256.80
Latrobe Area HospitalLatrobePA0$428.00$256.80
Presbyterian Medical CenterPhiladelphiaPA0$1,562.00$1,562.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$1,473.00$1,473.00
Milton S. Hershey Medical CenterHersheyPA0$1,029.00$340.91
Physicians Care Surgical HospitalRoyersfordPA0$373.36$28.48
Hospital Of The Univ Of PennaPhiladelphiaPA0$1,473.00$1,473.00
Hampden Medical CenterEnolaPA0$1,029.00$323.83
St. Joseph Medical CenterReadingPA0$1,029.00$267.64
Meyersdale Community HospitalMeyersdalePA0$274.00$109.60
Clarion HospitalClarionPA0$400.00$224.00
Reading Hospital And Medical CenterReadingPA0$969.00$678.30
Miners HospitalHastingsPA0$300.00$120.00
Uniontown HospitalUniontownPA0$436.00$218.00
Lifecare Hospitals Of Chester CountyWest ChesterPA0$1,118.00$1,118.00
Penn State Hershey Rehabilitation LlHummelstownPA0$1,029.00$267.64
Chestnut Hill HospitalPhiladelphiaPA0$969.00$242.25
St Christophers Hospital For ChildrPhiladelphiaPA0$1,604.00$802.00
Windber Hospital Inc.WindberPA0$247.00$209.95
Holy Spirit HospitalCamp HillPA0$1,029.00$245.83
Pottstown Memorial Medical CenterPottstownPA0$969.00$242.25
Wayne Memorial HospitalHonesdalePA0$128.00$89.60

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.