▸ Compare · PriceTransparency

ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in PA

← Back to search results↓ Download CSV
Hospitals
55
Min
$250.64
Median
$737.26
Max
$1,544.50
Range multiplier
6.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26187$62.46$767.60$2,526.3040.4×
Blue Cross Blue Shield25159$69.40$631.22$3,246.1346.8×
upmc health plan2499$70.79$465.84$1,328.1118.8×
UnitedHealthcare2692$145.68$628.13$3,648.5425.0×
Cigna2487$72.87$914.00$2,410.2033.1×
Multiplan1166$270.66$1,673.88$4,842.4017.9×
intergroup1550$312.30$1,716.80$5,145.0516.5×
pa health & wellness2145$74.95$317.52$2,315.5230.9×
amerihealth caritas2241$55.00$219.54$2,208.3240.2×
geisinger1836$152.61$384.22$1,437.829.4×
First Health1334$820.40$1,444.26$4,237.105.2×
private health care systems1326$337.23$1,932.00$4,842.4014.4×
Humana1125$156.11$1,184.80$5,145.0533.0×
upmc work partners2121$258.18$290.02$290.221.1×
wirerope works516$192.93$1,193.18$1,193.186.2×
america's choice516$312.30$1,716.80$1,931.406.2×
preferred healthcare system612$1,204.80$1,207.50$3,934.453.3×
health partners plans (jefferson health plan)1111$209.22$209.22$291.041.4×
Medicaid29$50.00$152.61$3,709.1274.2×
selectcare48$1,355.40$2,846.80$4,842.403.6×
three rivers provider network48$310.25$1,120.83$1,931.406.2×
keystone first26$493.56$493.56$657.251.3×
health partners plans26$233.00$233.00$638.472.7×
health coalition partners46$843.84$1,355.40$4,842.405.7×
ibc25$878.00$977.00$1,308.001.5×
abington pro ibc15$157.41$168.66$210.561.3×
pa health_wellness chc24$244.40$247.65$250.901.0×
galaxy health plan14$441.60$640.80$840.001.9×
gateway health plan34$212.30$681.92$782.443.7×
health payors organization24$3,615.30$4,380.18$5,145.051.4×
jup health partners chip14$50.00$143.04$149.133.0×
national provider network24$1,303.28$2,298.61$3,293.942.5×
pennsylvania health and wellness24$521.07$604.81$688.541.3×
occunet33$730.65$938.92$938.921.3×
Anthem BCBS13$310.00$651.31$870.962.8×
jup geisinger commercial13$250.39$280.58$330.301.3×
fidelis23$674.61$4,539.75$4,539.756.7×
univera13$541.35$1,190.97$1,587.962.9×
health plan of upper ohio valley13$584.52$584.52$1,384.612.4×
jup community behavioral health12$484.00$505.78$527.561.1×
Medicare12$139.12$162.32$185.521.3×
naphcare22$938.92$938.92$938.921.0×
Oscar Health22$938.92$938.92$938.921.0×
innovage22$638.47$638.47$638.471.0×
independent health12$1,531.00$1,589.50$1,648.001.1×
prime health services22$996.39$996.39$996.391.0×
prime net12$1,566.20$1,566.20$1,566.201.0×
elder health22$751.14$751.14$751.141.0×
clover health22$663.51$663.51$663.511.0×
WellCare11$694.85$694.85$694.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc Bedford Memorial HospitalEverettPA17$1,506.00$903.60$145.68$783.12$1,355.40
Temple University HospitalPhiladelphiaPA20$10,731$138.74$782.44$3,648.54
Upmc East HospitalMonroevillePA13$2,285.00$1,371.00$152.61$776.90$1,828.00
Upmc Horizon HospitalGreenvillePA17$1,910.00$1,146.00$152.61$737.26$1,623.50
Upmc MckeesportMckeesportPA13$1,919.00$1,151.40$152.61$734.02$1,631.15
Jeanes HospitalPhiladelphiaPA18$10,731$233.00$682.29$3,648.54
Upmc PassavantPittsburghPA14$2,997.00$1,798.20$152.61$642.97$2,787.21
Upmc Northwest HospitalSenecaPA13$1,172.00$703.20$152.61$631.28$3,704.00
Upmc JamesonNew CastlePA13$1,481.00$888.60$65.01$604.60$1,733.00
Curahealth Heritage ValleyBeaverPA9$1,597.00$431.19$60.00$583.02$1,197.75
Upmc Magee-Womens HospitalPittsburghPA12$2,415.00$1,449.00$174.21$551.50$1,932.00
Altoona Regional Health SystemAltoonaPA12$2,415.00$1,449.00$174.21$551.50$1,932.00
Upmc Childrens Hospital Of PghPittsburghPA12$2,415.00$1,449.00$174.21$551.50$1,932.00
The Childrens Home Of PittsburghPittsburghPA12$2,415.00$1,449.00$174.21$551.50$1,932.00
Charles Cole Memorial HospitalCoudersportPA14$1,050.00$630.00$56.38$441.60$909.00
WellsboroWellsboroPA14$2,146.00$1,557.60$55.00$420.55$2,038.70
Aria HealthPhiladelphiaPA13$3,754.00$672.07$50.00$250.64$3,709.12
Thomas Jefferson Univ. HospitalPhiladelphiaPA5$3,754.00$703.60$233.00$1,544.50$3,709.12
Upmc ShadysidePittsburghPA20$6,053.00$3,631.80$152.61$1,475.25$5,145.05
Upmc St MargaretPittsburghPA12$5,198.00$3,118.80$152.61$1,390.47$4,418.30
Upmc Mercy HospitalPittsburghPA16$4,017.00$2,410.20$152.61$1,365.78$3,615.30
Muncy Valley HospitalMuncyPA15$2,146.00$1,287.60$152.61$1,135.23$2,315.52
Upmc HamotEriePA16$3,609.00$2,165.40$152.61$1,028.57$2,887.20
Divine Providence HospitalWilliamsportPA15$2,146.00$1,287.60$152.61$1,023.64$1,931.40
Williamsport Hospital & Medical CtrWilliamsportPA15$2,146.00$1,287.60$152.61$1,023.64$1,931.40
Lock Haven HospitalLock HavenPA15$2,146.00$1,287.60$152.61$1,023.64$1,931.40
Phoenixville HospitalPhoenixvillePA0$2,971.00$742.75
Miners HospitalHastingsPA0$1,310.00$524.00
Westmoreland Regional HospitalGreensburgPA0$961.00$576.60
Armstrong County MemorialKittanningPA0$1,849.00$554.70
Butler Memorial HospitalButlerPA0$1,548.00$1,083.60
Wayne Memorial HospitalHonesdalePA0$514.00$359.80
Pottstown Memorial Medical CenterPottstownPA0$2,971.00$742.75
The Chester County HospitalWest ChesterPA0$2,600.00$2,600.00
Doylestown HospitalDoylestownPA0$1,605.00$1,605.00
Frick HospitalMount PleasantPA0$961.00$576.60
Latrobe Area HospitalLatrobePA0$961.00$576.60
Presbyterian Medical CenterPhiladelphiaPA0$4,953.00$4,953.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$6,331.00$6,331.00
Milton S. Hershey Medical CenterHersheyPA0$3,985.00$1,320.23
Physicians Care Surgical HospitalRoyersfordPA0$1,401.35$28.48
Windber Hospital Inc.WindberPA0$1,256.00$1,067.60
Hampden Medical CenterEnolaPA0$3,985.00$1,254.08
Hospital Of The Univ Of PennaPhiladelphiaPA0$6,331.00$6,331.00
Meyersdale Community HospitalMeyersdalePA0$957.00$382.80
St. Joseph Medical CenterReadingPA0$3,985.00$1,036.50
Clarion HospitalClarionPA0$1,548.00$866.88
Miners HospitalHastingsPA0$1,310.00$524.00
Reading Hospital And Medical CenterReadingPA0$2,971.00$2,079.70
Lifecare Hospitals Of Chester CountyWest ChesterPA0$2,600.00$2,600.00
Penn State Hershey Rehabilitation LlHummelstownPA0$3,985.00$1,036.50
Uniontown HospitalUniontownPA0$3,465.00$1,732.50
Chestnut Hill HospitalPhiladelphiaPA0$2,971.00$742.75
St Christophers Hospital For ChildrPhiladelphiaPA0$9,483.00$4,741.50
Holy Spirit HospitalCamp HillPA0$3,985.00$952.02

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.