▸ 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
$1,544.5
Range multiplier
6.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26187$62.46$767.6$2,526.340.4×
Blue Cross Blue Shield25159$69.4$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$2,410.233.1×
Multiplan1166$270.66$1,673.88$4,842.417.9×
intergroup1550$312.3$1,716.8$5,145.0516.5×
pa health & wellness2145$74.95$317.52$2,315.5230.9×
amerihealth caritas2241$55$219.54$2,208.3240.2×
geisinger1836$152.61$384.22$1,437.829.4×
First Health1334$820.4$1,444.26$4,237.15.2×
private health care systems1326$337.23$1,932$4,842.414.4×
Humana1125$156.11$1,184.8$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$312.3$1,716.8$1,931.46.2×
preferred healthcare system612$1,204.8$1,207.5$3,934.453.3×
health partners plans (jefferson health plan)1111$209.22$209.22$291.041.4×
Medicaid29$50$152.61$3,709.1274.2×
selectcare48$1,355.4$2,846.8$4,842.43.6×
three rivers provider network48$310.25$1,120.83$1,931.46.2×
keystone first26$493.56$493.56$657.251.3×
health partners plans26$233$233$638.472.7×
health coalition partners46$843.84$1,355.4$4,842.45.7×
ibc25$878$977$1,3081.5×
abington pro ibc15$157.41$168.66$210.561.3×
pa health_wellness chc24$244.4$247.65$250.91.0×
galaxy health plan14$441.6$640.8$8401.9×
gateway health plan34$212.3$681.92$782.443.7×
health payors organization24$3,615.3$4,380.18$5,145.051.4×
jup health partners chip14$50$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$651.31$870.962.8×
jup geisinger commercial13$250.39$280.58$330.31.3×
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$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$1,589.5$1,6481.1×
prime health services22$996.39$996.39$996.391.0×
prime net12$1,566.2$1,566.2$1,566.21.0×
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$903.6$145.68$783.12$1,355.4
TEMPLE UNIVERSITY HOSPITALPHILADELPHIAPA20$10,731$138.74$782.44$3,648.54
UPMC EAST HOSPITALMONROEVILLEPA13$2,285$1,371$152.61$776.9$1,828
UPMC HORIZON HOSPITALGREENVILLEPA17$1,910$1,146$152.61$737.26$1,623.5
UPMC MCKEESPORTMCKEESPORTPA13$1,919$1,151.4$152.61$734.02$1,631.15
JEANES HOSPITALPHILADELPHIAPA18$10,731$233$682.29$3,648.54
UPMC PASSAVANTPITTSBURGHPA14$2,997$1,798.2$152.61$642.97$2,787.21
UPMC NORTHWEST HOSPITALSENECAPA13$1,172$703.2$152.61$631.28$3,704
UPMC JAMESONNEW CASTLEPA13$1,481$888.6$65.01$604.6$1,733
CURAHEALTH HERITAGE VALLEYBEAVERPA9$1,597$431.19$60$583.02$1,197.75
UPMC MAGEE-WOMENS HOSPITALPITTSBURGHPA12$2,415$1,449$174.21$551.5$1,932
ALTOONA REGIONAL HEALTH SYSTEMALTOONAPA12$2,415$1,449$174.21$551.5$1,932
UPMC CHILDRENS HOSPITAL OF PGHPITTSBURGHPA12$2,415$1,449$174.21$551.5$1,932
THE CHILDRENS HOME OF PITTSBURGHPITTSBURGHPA12$2,415$1,449$174.21$551.5$1,932
CHARLES COLE MEMORIAL HOSPITALCOUDERSPORTPA14$1,050$630$56.38$441.6$909
WELLSBOROWELLSBOROPA14$2,146$1,557.6$55$420.55$2,038.7
ARIA HEALTHPHILADELPHIAPA13$3,754$672.07$50$250.64$3,709.12
THOMAS JEFFERSON UNIV. HOSPITALPHILADELPHIAPA5$3,754$703.6$233$1,544.5$3,709.12
UPMC SHADYSIDEPITTSBURGHPA20$6,053$3,631.8$152.61$1,475.25$5,145.05
UPMC ST MARGARETPITTSBURGHPA12$5,198$3,118.8$152.61$1,390.47$4,418.3
UPMC MERCY HOSPITALPITTSBURGHPA16$4,017$2,410.2$152.61$1,365.78$3,615.3
MUNCY VALLEY HOSPITALMUNCYPA15$2,146$1,287.6$152.61$1,135.23$2,315.52
UPMC HAMOTERIEPA16$3,609$2,165.4$152.61$1,028.57$2,887.2
DIVINE PROVIDENCE HOSPITALWILLIAMSPORTPA15$2,146$1,287.6$152.61$1,023.64$1,931.4
WILLIAMSPORT HOSPITAL & MEDICAL CTRWILLIAMSPORTPA15$2,146$1,287.6$152.61$1,023.64$1,931.4
LOCK HAVEN HOSPITALLOCK HAVENPA15$2,146$1,287.6$152.61$1,023.64$1,931.4
PHOENIXVILLE HOSPITALPHOENIXVILLEPA0$2,971$742.75
MINERS HOSPITALHASTINGSPA0$1,310$524
WESTMORELAND REGIONAL HOSPITALGREENSBURGPA0$961$576.6
ARMSTRONG COUNTY MEMORIALKITTANNINGPA0$1,849$554.7
BUTLER MEMORIAL HOSPITALBUTLERPA0$1,548$1,083.6
WAYNE MEMORIAL HOSPITALHONESDALEPA0$514$359.8
POTTSTOWN MEMORIAL MEDICAL CENTERPOTTSTOWNPA0$2,971$742.75
THE CHESTER COUNTY HOSPITALWEST CHESTERPA0$2,600$2,600
DOYLESTOWN HOSPITALDOYLESTOWNPA0$1,605$1,605
FRICK HOSPITALMOUNT PLEASANTPA0$961$576.6
LATROBE AREA HOSPITALLATROBEPA0$961$576.6
PRESBYTERIAN MEDICAL CENTERPHILADELPHIAPA0$4,953$4,953
PENNSYLVANIA HOSPITAL OF UPHSPHILADELPHIAPA0$6,331$6,331
MILTON S. HERSHEY MEDICAL CENTERHERSHEYPA0$3,985$1,320.23
PHYSICIANS CARE SURGICAL HOSPITALROYERSFORDPA0$1,401.35$28.48
WINDBER HOSPITAL INC.WINDBERPA0$1,256$1,067.6
HAMPDEN MEDICAL CENTERENOLAPA0$3,985$1,254.08
HOSPITAL OF THE UNIV OF PENNAPHILADELPHIAPA0$6,331$6,331
MEYERSDALE COMMUNITY HOSPITALMEYERSDALEPA0$957$382.8
ST. JOSEPH MEDICAL CENTERREADINGPA0$3,985$1,036.5
CLARION HOSPITALCLARIONPA0$1,548$866.88
MINERS HOSPITALHASTINGSPA0$1,310$524
READING HOSPITAL AND MEDICAL CENTERREADINGPA0$2,971$2,079.7
LIFECARE HOSPITALS OF CHESTER COUNTYWEST CHESTERPA0$2,600$2,600
PENN STATE HERSHEY REHABILITATION LLHUMMELSTOWNPA0$3,985$1,036.5
UNIONTOWN HOSPITALUNIONTOWNPA0$3,465$1,732.5
CHESTNUT HILL HOSPITALPHILADELPHIAPA0$2,971$742.75
ST CHRISTOPHERS HOSPITAL FOR CHILDRPHILADELPHIAPA0$9,483$4,741.5
HOLY SPIRIT HOSPITALCAMP HILLPA0$3,985$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.