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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in PA

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Hospitals
54
Min
$248.49
Median
$915.97
Max
$1,969.96
Range multiplier
7.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26185$74.34$1,001.20$4,422.0059.5×
Blue Cross Blue Shield25157$82.60$798.29$4,501.8154.5×
upmc health plan2498$84.25$553.57$1,383.2016.4×
UnitedHealthcare2691$159.21$859.56$5,059.8831.8×
Cigna2691$86.73$1,202.60$5,152.0059.4×
Multiplan1166$322.14$2,335.32$6,358.4019.7×
intergroup1550$371.70$2,395.20$6,755.8018.2×
pa health & wellness2145$89.21$258.41$2,315.5226.0×
amerihealth caritas2243$151.63$236.71$2,208.3214.6×
geisinger1836$166.79$475.42$2,255.5513.5×
First Health1334$1,269.10$2,014.96$5,563.604.4×
private health care systems1326$451.14$3,280.80$6,358.4014.1×
Humana1125$194.57$1,789.25$6,755.8034.7×
upmc work partners2121$343.60$387.98$402.401.2×
wirerope works516$229.63$1,664.66$1,664.667.2×
america's choice516$371.70$2,395.20$2,694.607.2×
Medicaid213$151.63$256.16$3,709.1224.5×
preferred healthcare system612$1,450.40$2,050.50$5,166.203.6×
health partners plans (jefferson health plan)1111$228.66$228.66$228.661.0×
keystone first410$186.50$370.83$911.634.9×
selectcare48$1,631.70$3,493.20$6,358.403.9×
three rivers provider network48$415.05$1,554.83$2,694.606.5×
health partners plans26$256.16$256.16$885.583.5×
health coalition partners46$1,486.80$1,631.70$6,358.404.3×
abington pro ibc16$192.66$216.54$257.711.3×
ibc25$878.00$977.00$1,308.001.5×
galaxy health plan14$550.40$1,065.60$1,580.802.9×
gateway health plan34$166.79$944.25$1,085.286.5×
health payors organization24$5,214.60$5,985.20$6,755.801.3×
national provider network24$2,021.36$3,386.22$4,751.082.4×
pennsylvania health and wellness24$521.07$738.06$955.041.8×
jup health partners chip13$151.63$174.37$240.821.6×
Medicare13$180.37$202.59$240.531.3×
occunet33$1,004.16$1,302.33$1,302.331.3×
health plan of upper ohio valley13$803.33$803.33$1,477.011.8×
fidelis23$927.14$5,961.00$5,961.006.4×
univera13$666.00$1,465.20$1,953.602.9×
Anthem BCBS13$310.00$724.28$968.543.1×
jup geisinger commercial13$324.64$363.78$428.251.3×
elder health22$1,041.86$1,041.86$1,041.861.0×
Oscar Health22$1,302.33$1,302.33$1,302.331.0×
clover health22$920.31$920.31$920.311.0×
geisinger health plan22$7,623.86$7,623.86$7,623.861.0×
prime health services22$1,382.03$1,382.03$1,382.031.0×
innovage22$885.58$885.58$885.581.0×
prime net12$1,741.68$1,741.68$1,741.681.0×
independent health12$1,570.00$1,630.00$1,690.001.1×
naphcare22$1,302.33$1,302.33$1,302.331.0×
pa health_wellness chc22$197.12$197.12$197.121.0×
american healthcare group11$4,635.20$4,635.20$4,635.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc Bedford Memorial HospitalEverettPA17$1,813.00$1,087.80$159.21$942.76$1,631.70
Temple University HospitalPhiladelphiaPA20$14,882$151.63$937.00$5,059.88
Jeanes HospitalPhiladelphiaPA18$14,882$256.16$915.97$5,059.88
Upmc East HospitalMonroevillePA13$2,503.00$1,501.80$166.79$883.66$2,002.40
Upmc PassavantPittsburghPA14$3,197.00$1,918.20$166.79$867.60$2,973.21
Upmc Northwest HospitalSenecaPA13$2,105.00$1,263.00$166.79$867.60$3,704.00
Upmc Horizon HospitalGreenvillePA17$2,124.00$1,274.40$166.79$846.55$1,805.40
Upmc JamesonNew CastlePA13$2,297.00$1,378.20$166.79$820.28$2,558.00
Curahealth Heritage ValleyBeaverPA9$1,547.00$417.69$151.63$805.46$1,547.00
Upmc Magee-Womens HospitalPittsburghPA12$4,101.00$2,460.60$151.63$582.06$3,280.80
Altoona Regional Health SystemAltoonaPA12$4,101.00$2,460.60$151.63$582.06$3,280.80
Upmc Childrens Hospital Of PghPittsburghPA12$4,101.00$2,460.60$151.63$582.06$3,280.80
The Childrens Home Of PittsburghPittsburghPA12$4,101.00$2,460.60$151.63$582.06$3,280.80
WellsboroWellsboroPA14$2,994.00$2,172.00$74.34$560.09$2,844.30
Charles Cole Memorial HospitalCoudersportPA14$1,976.00$1,185.60$159.21$550.40$1,580.80
Aria HealthPhiladelphiaPA15$5,400.00$932.20$151.63$248.49$7,623.86
Upmc Mercy HospitalPittsburghPA16$5,794.00$3,476.40$166.79$1,969.96$5,214.60
Upmc MckeesportMckeesportPA13$4,438.00$2,662.80$166.79$1,679.79$3,772.30
Upmc ShadysidePittsburghPA20$7,948.00$4,768.80$166.79$1,613.77$6,755.80
Muncy Valley HospitalMuncyPA15$2,994.00$1,796.40$166.79$1,583.83$2,844.30
Divine Providence HospitalWilliamsportPA15$2,994.00$1,796.40$166.79$1,428.14$2,694.60
Williamsport Hospital & Medical CtrWilliamsportPA15$2,994.00$1,796.40$166.79$1,428.14$2,694.60
Lock Haven HospitalLock HavenPA15$2,994.00$1,796.40$166.79$1,428.14$2,694.60
Thomas Jefferson Univ. HospitalPhiladelphiaPA9$5,400.00$975.93$197.12$1,308.00$7,623.86
Upmc St MargaretPittsburghPA12$4,295.00$2,577.00$166.79$1,189.72$3,650.75
Upmc HamotEriePA16$4,440.00$2,664.00$166.79$1,154.40$3,552.00
Phoenixville HospitalPhoenixvillePA0$3,694.00$923.50
Miners HospitalHastingsPA0$1,945.00$778.00
Westmoreland Regional HospitalGreensburgPA0$1,334.00$800.40
Armstrong County MemorialKittanningPA0$2,554.00$766.20
Butler Memorial HospitalButlerPA0$1,700.00$1,190.00
Hospital Of The Univ Of PennaPhiladelphiaPA0$10,688$10,688
The Chester County HospitalWest ChesterPA0$4,667.00$4,667.00
Doylestown HospitalDoylestownPA0$3,026.00$3,026.00
Frick HospitalMount PleasantPA0$1,334.00$800.40
Latrobe Area HospitalLatrobePA0$1,334.00$800.40
Presbyterian Medical CenterPhiladelphiaPA0$6,097.00$6,097.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$10,688$10,688
Milton S. Hershey Medical CenterHersheyPA0$5,477.00$1,814.53
Hampden Medical CenterEnolaPA0$5,477.00$1,723.61
St. Joseph Medical CenterReadingPA0$5,477.00$1,424.57
Meyersdale Community HospitalMeyersdalePA0$1,517.00$606.80
Clarion HospitalClarionPA0$1,700.00$952.00
Miners HospitalHastingsPA0$1,945.00$778.00
Reading Hospital And Medical CenterReadingPA0$3,694.00$2,585.80
Lifecare Hospitals Of Chester CountyWest ChesterPA0$4,667.00$4,667.00
Penn State Hershey Rehabilitation LlHummelstownPA0$5,477.00$1,424.57
Uniontown HospitalUniontownPA0$2,563.00$1,281.50
Chestnut Hill HospitalPhiladelphiaPA0$3,694.00$923.50
St Christophers Hospital For ChildrPhiladelphiaPA0$16,752$8,376.00
Windber Hospital Inc.WindberPA0$1,885.00$1,602.25
Holy Spirit HospitalCamp HillPA0$5,477.00$1,308.46
Pottstown Memorial Medical CenterPottstownPA0$3,694.00$923.50
Wayne Memorial HospitalHonesdalePA0$624.00$436.80

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.