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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in PA

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Hospitals
55
Min
$96.67
Median
$368.57
Max
$1,308.00
Range multiplier
13.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26186$36.72$346.98$2,095.0057.1×
Blue Cross Blue Shield25159$40.80$319.90$1,885.0046.2×
upmc health plan2499$41.62$245.32$540.6413.0×
UnitedHealthcare2692$59.48$283.78$2,484.0041.8×
Cigna2487$42.84$396.60$883.2020.6×
Multiplan1166$132.67$967.20$1,792.0013.5×
intergroup1550$178.40$925.65$3,704.0020.8×
pa health & wellness2145$44.06$134.63$2,315.5252.6×
amerihealth caritas2241$38.50$89.64$2,208.3257.4×
geisinger1836$62.31$172.83$1,428.1022.9×
First Health1334$392.70$655.96$1,568.004.0×
private health care systems1326$139.65$945.60$1,792.0012.8×
Humana1125$63.06$514.40$1,904.0030.2×
upmc work partners2121$113.24$120.10$124.771.1×
america's choice516$183.60$992.00$1,116.006.1×
wirerope works516$113.42$689.44$689.446.1×
preferred healthcare system612$572.80$591.00$1,456.002.5×
health partners plans (jefferson health plan)1111$85.43$85.43$119.131.4×
selectcare48$644.40$696.40$1,792.002.8×
three rivers provider network48$128.48$622.24$1,116.008.7×
Medicaid28$35.00$87.63$449.7212.8×
health coalition partners46$403.92$644.40$1,792.004.4×
abington pro ibc16$63.50$71.36$84.931.3×
keystone first26$301.27$493.56$493.561.6×
health partners plans26$233.00$233.00$292.661.3×
galaxy health plan14$178.40$272.00$365.602.0×
gateway health plan34$86.90$308.46$358.654.1×
health payors organization24$1,324.80$1,614.40$1,904.001.4×
ibc24$878.00$1,093.00$1,308.001.5×
national provider network24$565.84$886.44$1,207.042.1×
pa health_wellness chc24$96.20$99.45$102.701.1×
pennsylvania health and wellness24$315.61$418.34$521.071.7×
jup health partners chip13$35.00$54.25$55.781.6×
Medicare13$49.57$55.68$66.111.3×
occunet33$329.98$430.38$430.381.3×
health plan of upper ohio valley13$263.98$263.98$587.662.2×
fidelis23$304.67$1,680.00$1,680.005.5×
univera13$198.30$436.26$581.682.9×
Anthem BCBS13$219.26$293.21$310.001.4×
jup geisinger commercial13$89.22$99.98$117.701.3×
elder health22$344.30$344.30$344.301.0×
geisinger health plan22$2,391.15$2,391.15$2,391.151.0×
prime health services22$456.72$456.72$456.721.0×
prime net12$527.26$527.26$527.261.0×
innovage22$292.66$292.66$292.661.0×
clover health22$304.14$304.14$304.141.0×
independent health12$625.00$649.50$674.001.1×
naphcare22$430.38$430.38$430.381.0×
Oscar Health22$430.38$430.38$430.381.0×
jab health partners11$233.00$233.00$233.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Aria HealthPhiladelphiaPA14$2,435.00$308.06$35.00$96.67$2,391.15
Upmc ShadysidePittsburghPA20$2,240.00$1,344.00$62.31$946.03$1,904.00
Muncy Valley HospitalMuncyPA15$1,240.00$744.00$62.31$655.96$2,315.52
Lock Haven HospitalLock HavenPA15$1,240.00$744.00$62.31$591.48$1,116.00
Divine Providence HospitalWilliamsportPA15$1,240.00$744.00$62.31$591.48$1,116.00
Williamsport Hospital & Medical CtrWilliamsportPA15$1,240.00$744.00$62.31$591.48$1,116.00
Upmc Mercy HospitalPittsburghPA16$1,472.00$883.20$62.31$500.48$1,324.80
Upmc East HospitalMonroevillePA13$1,467.00$880.20$62.31$498.78$1,173.60
WellsboroWellsboroPA14$1,240.00$900.00$36.72$490.50$1,178.00
Temple University HospitalPhiladelphiaPA20$3,644.00$56.65$430.38$1,885.00
Upmc HamotEriePA16$1,322.00$793.20$62.31$396.60$1,057.60
Upmc Bedford Memorial HospitalEverettPA17$716.00$429.60$59.48$387.72$644.40
Jeanes HospitalPhiladelphiaPA18$3,644.00$125.20$368.57$1,428.10
Upmc Childrens Hospital Of PghPittsburghPA12$1,182.00$709.20$79.00$355.10$945.60
Upmc Magee-Womens HospitalPittsburghPA12$1,182.00$709.20$79.00$355.10$945.60
The Childrens Home Of PittsburghPittsburghPA12$1,182.00$709.20$79.00$355.10$945.60
Altoona Regional Health SystemAltoonaPA12$1,182.00$709.20$79.00$355.10$945.60
Upmc MckeesportMckeesportPA13$893.00$535.80$62.31$352.58$759.05
Upmc PassavantPittsburghPA14$1,272.00$763.20$62.31$309.68$1,182.96
Upmc Northwest HospitalSenecaPA13$561.00$336.60$62.31$290.38$3,704.00
Upmc St MargaretPittsburghPA12$848.00$508.80$62.31$287.74$869.82
Upmc JamesonNew CastlePA13$643.00$385.80$45.50$275.39$612.00
Curahealth Heritage ValleyBeaverPA9$700.00$189.00$42.00$275.00$700.00
Upmc Horizon HospitalGreenvillePA17$643.00$385.80$62.31$264.53$546.55
Charles Cole Memorial HospitalCoudersportPA14$457.00$274.20$39.46$178.40$781.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA6$2,435.00$322.51$96.20$1,308.00$2,484.00
Phoenixville HospitalPhoenixvillePA0$1,521.00$380.25
Miners HospitalHastingsPA0$602.00$240.80
Westmoreland Regional HospitalGreensburgPA0$551.00$330.60
Armstrong County MemorialKittanningPA0$809.00$242.70
Butler Memorial HospitalButlerPA0$650.00$455.00
The Chester County HospitalWest ChesterPA0$1,433.00$1,433.00
Doylestown HospitalDoylestownPA0$1,605.00$1,605.00
Frick HospitalMount PleasantPA0$551.00$330.60
Latrobe Area HospitalLatrobePA0$551.00$330.60
Presbyterian Medical CenterPhiladelphiaPA0$2,061.00$2,061.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$2,232.00$2,232.00
Milton S. Hershey Medical CenterHersheyPA0$1,800.00$596.34
Physicians Care Surgical HospitalRoyersfordPA0$595.77$28.48
Hospital Of The Univ Of PennaPhiladelphiaPA0$2,232.00$2,232.00
Hampden Medical CenterEnolaPA0$1,800.00$566.46
St. Joseph Medical CenterReadingPA0$1,800.00$468.18
Meyersdale Community HospitalMeyersdalePA0$370.00$148.00
Clarion HospitalClarionPA0$650.00$364.00
Miners HospitalHastingsPA0$602.00$240.80
Reading Hospital And Medical CenterReadingPA0$1,521.00$1,064.70
Lifecare Hospitals Of Chester CountyWest ChesterPA0$1,433.00$1,433.00
Penn State Hershey Rehabilitation LlHummelstownPA0$1,800.00$468.18
Uniontown HospitalUniontownPA0$768.00$384.00
Chestnut Hill HospitalPhiladelphiaPA0$1,521.00$380.25
St Christophers Hospital For ChildrPhiladelphiaPA0$3,204.00$1,602.00
Windber Hospital Inc.WindberPA0$480.00$408.00
Holy Spirit HospitalCamp HillPA0$1,800.00$430.02
Pottstown Memorial Medical CenterPottstownPA0$1,521.00$380.25
Wayne Memorial HospitalHonesdalePA0$210.00$147.00

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.