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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in PA

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Hospitals
55
Min
$159.90
Median
$537.27
Max
$1,308.00
Range multiplier
8.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26185$64.08$570.00$2,095.0032.7×
Blue Cross Blue Shield24161$71.20$445.60$1,885.0026.5×
upmc health plan2499$72.62$367.62$969.6813.4×
UnitedHealthcare2696$100.10$441.10$2,484.0024.8×
Cigna2487$74.76$699.40$1,420.0119.0×
Multiplan1166$192.16$1,616.94$2,605.6013.6×
intergroup1550$301.60$1,521.00$3,704.0012.3×
pa health & wellness2145$76.90$199.37$2,315.5230.1×
amerihealth caritas2241$55.00$150.85$2,208.3240.2×
geisinger1836$104.86$292.18$1,428.1013.6×
First Health1334$627.00$1,096.62$2,279.903.6×
private health care systems1326$202.27$1,349.60$2,605.6012.9×
Humana1125$106.62$807.50$2,768.4526.0×
upmc work partners2121$162.75$173.95$180.891.1×
america's choice516$320.40$1,658.40$1,865.705.8×
wirerope works516$197.94$1,152.59$1,152.595.8×
preferred healthcare system612$843.50$843.50$2,117.052.5×
health partners plans (jefferson health plan)1111$143.76$143.76$185.481.3×
three rivers provider network48$186.09$1,025.90$1,865.7010.0×
Medicaid28$50.00$147.47$449.729.0×
selectcare48$940.80$1,243.00$2,605.602.8×
keystone first26$460.51$493.56$493.561.1×
abington pro ibc16$107.80$121.16$144.201.3×
health coalition partners46$665.00$968.40$2,605.603.9×
health partners plans26$233.00$233.00$447.351.9×
ibc25$878.00$977.00$1,308.001.5×
galaxy health plan14$301.60$388.80$476.001.6×
gateway health plan34$135.30$474.57$548.234.1×
health payors organization24$1,872.90$2,320.68$2,768.451.5×
national provider network24$887.92$1,297.17$1,706.421.9×
pa health_wellness chc24$153.40$156.65$159.901.0×
pennsylvania health and wellness24$482.44$501.76$521.071.1×
jup health partners chip13$50.00$98.18$102.662.1×
Medicare13$95.36$107.11$127.171.3×
occunet33$507.46$657.87$657.871.3×
health plan of upper ohio valley13$405.97$405.97$882.422.2×
fidelis23$468.54$2,442.75$2,442.755.2×
univera13$395.25$869.55$1,159.402.9×
Anthem BCBS13$310.00$323.95$433.201.4×
jup geisinger commercial13$171.64$192.33$226.421.3×
elder health22$526.30$526.30$526.301.0×
geisinger health plan22$2,391.15$2,391.15$2,391.151.0×
prime health services22$698.13$698.13$698.131.0×
prime net12$779.00$779.00$779.001.0×
innovage22$447.35$447.35$447.351.0×
clover health22$464.89$464.89$464.891.0×
independent health12$1,315.00$1,481.50$1,648.001.3×
naphcare22$657.87$657.87$657.871.0×
Oscar Health22$657.87$657.87$657.871.0×
jab health partners11$233.00$233.00$233.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Divine Providence HospitalWilliamsportPA15$2,073.00$1,243.80$104.86$988.82$1,865.70
Williamsport Hospital & Medical CtrWilliamsportPA15$2,073.00$1,243.80$104.86$988.82$1,865.70
Lock Haven HospitalLock HavenPA15$2,073.00$1,243.80$104.86$988.82$1,865.70
Upmc HamotEriePA16$2,635.00$1,581.00$104.86$788.53$2,108.00
Upmc Mercy HospitalPittsburghPA16$2,081.00$1,248.60$104.86$707.54$1,872.90
WellsboroWellsboroPA14$2,073.00$1,504.00$55.00$677.11$1,969.35
Upmc East HospitalMonroevillePA13$1,867.00$1,120.20$104.86$634.78$1,493.60
Temple University HospitalPhiladelphiaPA20$5,987.00$95.33$563.38$2,035.58
Upmc Bedford Memorial HospitalEverettPA17$1,076.00$645.60$100.10$559.52$968.40
Jeanes HospitalPhiladelphiaPA18$5,987.00$210.68$537.27$2,035.58
Upmc St MargaretPittsburghPA12$1,897.00$1,138.20$104.86$534.96$1,612.45
Upmc MckeesportMckeesportPA13$1,176.00$705.60$104.86$456.88$999.60
Upmc Magee-Womens HospitalPittsburghPA12$1,687.00$1,012.20$123.00$448.50$1,349.60
The Childrens Home Of PittsburghPittsburghPA12$1,687.00$1,012.20$123.00$448.50$1,349.60
Upmc Childrens Hospital Of PghPittsburghPA12$1,687.00$1,012.20$123.00$448.50$1,349.60
Altoona Regional Health SystemAltoonaPA12$1,687.00$1,012.20$123.00$448.50$1,349.60
Upmc Northwest HospitalSenecaPA13$950.00$570.00$104.86$446.57$3,704.00
Upmc PassavantPittsburghPA14$1,910.00$1,146.00$104.86$446.57$1,776.30
Upmc JamesonNew CastlePA13$1,009.00$605.40$65.01$423.51$1,733.00
Curahealth Heritage ValleyBeaverPA9$1,082.00$292.14$60.00$402.02$1,040.00
Upmc Horizon HospitalGreenvillePA17$950.00$570.00$104.86$380.00$807.50
Charles Cole Memorial HospitalCoudersportPA14$595.00$357.00$56.38$301.60$909.00
Aria HealthPhiladelphiaPA13$3,088.00$470.90$50.00$159.90$2,391.15
Thomas Jefferson Univ. HospitalPhiladelphiaPA6$3,088.00$492.99$153.40$1,308.00$2,484.00
Upmc ShadysidePittsburghPA20$3,257.00$1,954.20$104.86$1,202.30$2,768.45
Muncy Valley HospitalMuncyPA15$2,073.00$1,243.80$104.86$1,096.62$2,315.52
Miners HospitalHastingsPA0$932.00$372.80
Westmoreland Regional HospitalGreensburgPA0$735.00$441.00
Armstrong County MemorialKittanningPA0$1,274.00$382.20
Butler Memorial HospitalButlerPA0$850.00$595.00
The Chester County HospitalWest ChesterPA0$1,932.00$1,932.00
Doylestown HospitalDoylestownPA0$1,605.00$1,605.00
Frick HospitalMount PleasantPA0$735.00$441.00
Latrobe Area HospitalLatrobePA0$735.00$441.00
Presbyterian Medical CenterPhiladelphiaPA0$3,297.00$3,297.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$3,489.00$3,489.00
Milton S. Hershey Medical CenterHersheyPA0$2,768.00$917.04
Physicians Care Surgical HospitalRoyersfordPA0$948.47$28.48
Clarion HospitalClarionPA0$850.00$476.00
Hampden Medical CenterEnolaPA0$2,768.00$871.09
Meyersdale Community HospitalMeyersdalePA0$515.00$206.00
Miners HospitalHastingsPA0$932.00$372.80
Reading Hospital And Medical CenterReadingPA0$2,492.00$1,744.40
Lifecare Hospitals Of Chester CountyWest ChesterPA0$1,932.00$1,932.00
Penn State Hershey Rehabilitation LlHummelstownPA0$2,768.00$719.96
Uniontown HospitalUniontownPA0$1,244.00$622.00
Chestnut Hill HospitalPhiladelphiaPA0$2,492.00$623.00
St Christophers Hospital For ChildrPhiladelphiaPA0$4,813.00$2,406.50
Windber Hospital Inc.WindberPA0$828.00$703.80
Holy Spirit HospitalCamp HillPA0$2,768.00$661.28
Hospital Of The Univ Of PennaPhiladelphiaPA0$3,489.00$3,489.00
St. Joseph Medical CenterReadingPA0$2,768.00$719.96
Pottstown Memorial Medical CenterPottstownPA0$2,492.00$623.00
Wayne Memorial HospitalHonesdalePA0$353.00$247.10
Phoenixville HospitalPhoenixvillePA0$2,492.00$623.00

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.