▸ Hospital · · CCN 390055
UPMC Shadyside
Compliance grade
A
100/100
Procedures tracked
172
of 209 target codes
Payers
21
with negotiated rates
Rates published
69,290
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $10,904 | $14,545 | $29,135 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 19 | $443 | $265.8 | $31.5 | $332.25 | $1,931.02 |
| Psychiatric eval with medical services | CPT | 90792 | 20 | $1,070 | $642 | $82.5 | $749 | $2,055.6 |
| Psychotherapy 30 minutes | CPT | 90832 | 20 | $292 | $175.2 | $28.6 | $211.7 | $797.32 |
| Psychotherapy 45 minutes | CPT | 90834 | 20 | $392 | $235.2 | $42.9 | $284.2 | $1,177.3 |
| Psychotherapy 60 minutes | CPT | 90837 | 20 | $424 | $254.4 | $57.2 | $307.4 | $1,719.23 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $514 | $308.4 | $52.16 | $359.8 | $464.52 |
| ED visit level 2 | CPT | 99282 | 20 | $1,034 | $620.4 | $36.28 | $672.1 | $878.9 |
| ED visit level 3 | CPT | 99283 | 20 | $2,240 | $1,344 | $62.31 | $946.03 | $1,904 |
| ED visit level 4 | CPT | 99284 | 20 | $3,257 | $1,954.2 | $104.86 | $1,202.3 | $2,768.45 |
| ED visit level 5 | CPT | 99285 | 20 | $6,053 | $3,631.8 | $152.61 | $1,475.25 | $5,145.05 |
| Critical care, first hour | CPT | 99291 | 20 | $7,948 | $4,768.8 | $166.79 | $1,613.77 | $6,755.8 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 20 | $4,895 | $2,937 | $93 | $2,295.27 | $4,160.75 |
| CT head with contrast | CPT | 70460 | 20 | $7,666 | $4,599.6 | $96 | $3,594.59 | $6,516.1 |
| CT head with and without contrast | CPT | 70470 | 20 | $8,520 | $5,112 | $120 | $3,995.03 | $7,242 |
| CT neck with contrast | CPT | 70491 | 20 | $7,666 | $4,599.6 | $99 | $3,594.59 | $6,516.1 |
| MRI brain without contrast | CPT | 70551 | 21 | $10,357 | $6,214.2 | $248.89 | $4,329.2 | $8,803.45 |
| MRI brain with contrast | CPT | 70552 | 21 | $13,340 | $8,004 | $322.8 | $5,410.72 | $11,339 |
| MRI brain with and without contrast | CPT | 70553 | 21 | $16,347 | $9,808.2 | $322.8 | $7,862.79 | $13,895 |
| Chest X-ray single view | CPT | 71045 | 20 | $1,144 | $686.4 | $6.49 | $536.42 | $972.4 |
| Chest X-ray 2 views | CPT | 71046 | 20 | $1,144 | $686.4 | $11.9 | $536.42 | $972.4 |
| Chest X-ray 3 views | CPT | 71047 | 20 | $1,144 | $686.4 | $15.12 | $536.42 | $972.4 |
| CT chest without contrast | CPT | 71250 | 20 | $4,895 | $2,937 | $99.72 | $2,295.27 | $4,160.75 |
| CT chest with contrast | CPT | 71260 | 20 | $7,666 | $4,599.6 | $105 | $3,594.59 | $6,516.1 |
| CT chest with and without contrast | CPT | 71270 | 20 | $8,520 | $5,112 | $124.2 | $3,995.03 | $7,242 |
| MRI chest without contrast | CPT | 71550 | 21 | $10,357 | $6,214.2 | $248.89 | $4,355.67 | $8,803.45 |
| MRI chest with contrast | CPT | 71551 | 21 | $13,340 | $8,004 | $374.64 | $4,940.73 | $11,339 |
| MRI chest with and without contrast | CPT | 71552 | 21 | $16,347 | $9,808.2 | $367.72 | $7,164.63 | $13,895 |
| Lumbosacral spine X-ray | CPT | 72100 | 20 | $1,144 | $686.4 | $27 | $536.42 | $972.4 |
| CT cervical spine without contrast | CPT | 72125 | 20 | $4,895 | $2,937 | $99.72 | $2,295.27 | $4,160.75 |
| CT thoracic spine without contrast | CPT | 72128 | 20 | $4,895 | $2,937 | $108.72 | $2,295.27 | $4,160.75 |
| CT lumbar spine without contrast | CPT | 72131 | 20 | $4,895 | $2,937 | $105.72 | $2,295.27 | $4,160.75 |
| MRI cervical spine without contrast | CPT | 72141 | 21 | $10,357 | $6,214.2 | $248.89 | $4,355.67 | $8,803.45 |
| MRI thoracic spine without contrast | CPT | 72146 | 21 | $10,357 | $6,214.2 | $224.64 | $4,530.59 | $8,803.45 |
| MRI lumbar spine without contrast | CPT | 72148 | 21 | $10,357 | $6,214.2 | $224.64 | $4,504.17 | $8,803.45 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 21 | $13,340 | $8,004 | $322.8 | $5,410.72 | $11,339 |
| MRI cervical spine with and without contrast | CPT | 72156 | 21 | $16,347 | $9,808.2 | $322.8 | $7,911.97 | $13,895 |
| MRI lumbar spine with contrast | CPT | 72158 | 21 | $16,347 | $9,808.2 | $322.8 | $7,862.79 | $13,895 |
| CT pelvis without contrast | CPT | 72192 | 20 | $4,895 | $2,937 | $81 | $2,295.27 | $4,160.75 |
| CT pelvis with contrast | CPT | 72193 | 20 | $7,666 | $4,599.6 | $103.8 | $3,594.59 | $6,516.1 |
| Shoulder X-ray | CPT | 73030 | 19 | $1,144 | $686.4 | $19.8 | $743.6 | $972.4 |
| Humerus X-ray | CPT | 73060 | 19 | $1,144 | $686.4 | $13.8 | $743.6 | $972.4 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $1,144 | $686.4 | $13.8 | $743.6 | $972.4 |
| MRI upper extremity joint without contrast | CPT | 73221 | 20 | $10,357 | $6,214.2 | $248.89 | $6,732.05 | $8,803.45 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 20 | $16,347 | $9,808.2 | $367.72 | $10,626 | $13,895 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $1,144 | $686.4 | $19.8 | $743.6 | $972.4 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $1,144 | $686.4 | $22.48 | $743.6 | $972.4 |
| MRI lower extremity joint without contrast | CPT | 73721 | 20 | $10,357 | $6,214.2 | $248.89 | $6,732.05 | $8,803.45 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 20 | $16,347 | $9,808.2 | $367.72 | $10,626 | $13,895 |
| CT abdomen without contrast | CPT | 74150 | 20 | $4,895 | $2,937 | $93 | $2,295.27 | $4,160.75 |
| CT abdomen with contrast | CPT | 74160 | 20 | $7,666 | $4,599.6 | $108 | $3,594.59 | $6,516.1 |
| CT abdomen with and without contrast | CPT | 74170 | 20 | $8,520 | $5,112 | $133.8 | $3,995.03 | $7,242 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 20 | $10,334 | $6,200.4 | $121.28 | $4,845.61 | $8,783.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 20 | $14,808 | $8,884.8 | $231.28 | $6,943.47 | $12,587 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 20 | $14,808 | $8,884.8 | $305.64 | $6,943.47 | $12,587 |
| MRI abdomen without contrast | CPT | 74181 | 21 | $10,357 | $6,214.2 | $248.89 | $4,355.67 | $8,803.45 |
| MRI abdomen with and without contrast | CPT | 74183 | 21 | $16,347 | $9,808.2 | $367.72 | $7,186.62 | $13,895 |
| Abdominal ultrasound complete | CPT | 76700 | 20 | $2,124 | $1,274.4 | $69 | $995.94 | $1,805.4 |
| Abdominal ultrasound limited | CPT | 76705 | 20 | $2,248 | $1,348.8 | $45 | $1,054.09 | $1,910.8 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 20 | $2,105 | $1,263 | $58.8 | $987.03 | $1,789.25 |
| Obstetric ultrasound first trimester | CPT | 76801 | 20 | $3,033 | $1,819.8 | $46.07 | $1,422.17 | $2,578.05 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 20 | $3,033 | $1,819.8 | $55.8 | $1,422.17 | $2,578.05 |
| Transvaginal ultrasound | CPT | 76830 | 20 | $3,855 | $2,313 | $55.8 | $1,807.61 | $3,276.75 |
| Pelvic ultrasound complete | CPT | 76856 | 20 | $2,105 | $1,263 | $55.8 | $987.03 | $1,789.25 |
| Scrotal ultrasound | CPT | 76870 | 20 | $2,024 | $1,214.4 | $52.8 | $949.05 | $1,720.4 |
| Diagnostic mammography unilateral | CPT | 77065 | 18 | $905 | $543 | $58.27 | $633.5 | $769.25 |
| EKG tracing only | CPT | 93005 | 20 | $727 | $436.2 | $11.51 | $181.75 | $617.95 |
| Transthoracic echocardiogram complete | CPT | 93306 | 20 | $4,333 | $2,599.8 | $117.77 | $2,279.98 | $3,683.05 |
| Transthoracic echocardiogram | CPT | 93307 | 20 | $5,911 | $3,546.6 | $114 | $1,236.48 | $5,024.35 |
| Stress echocardiogram | CPT | 93350 | 20 | $8,613 | $5,167.8 | $55.8 | $1,119.29 | $7,321.05 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $10,293 | $20,896 | $76,175 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $6,064.23 | $10,768 | $47,853 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $6,075 | $7,887.22 | $37,382 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $9,648.67 | $16,359 | $58,705 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $8,026.99 | $11,753 | $39,607 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $8,325.01 | $10,219 | $52,870 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $6,458.57 | $9,009.59 | $27,942 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $7,980.54 | $9,995.88 | $33,150 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $6,333.22 | $8,442.08 | $29,413 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $8,053.32 | $16,778 | $59,464 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $5,198.93 | $10,114 | $41,017 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $4,267.82 | $8,317.76 | $37,002 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $6,106.11 | $13,536 | $45,955 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $8,380.74 | $10,255 | $32,550 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $5,752.87 | $8,552.25 | $28,050 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $10,293 | $13,668 | $42,645 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $7,328.65 | $9,197.05 | $26,857 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $5,753.79 | $7,335.59 | $20,997 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $8,439.89 | $10,468 | $41,777 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $3,834.57 | $7,286.49 | $29,461 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $7,736.3 | $9,837.61 | $38,323 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $15,054 | $17,714 | $82,903 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $11,271 | $13,182 | $49,481 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $8,013.95 | $9,278.94 | $27,074 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $18,535 | $21,883 | $76,066 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $9,999.25 | $11,657 | $38,847 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 20 | $350 | $210 | $8.36 | $101 | $297.5 |
| Electrolyte panel | CPT | 80051 | 20 | $259 | $155.4 | $6.92 | $80.95 | $220.15 |
| Comprehensive metabolic panel | CPT | 80053 | 20 | $1,031 | $618.6 | $10.43 | $126.14 | $876.35 |
| Lipid panel | CPT | 80061 | 20 | $1,200 | $720 | $13.24 | $122.38 | $1,020 |
| Renal function panel | CPT | 80069 | 20 | $707 | $424.2 | $8.58 | $103.59 | $600.95 |
| Hepatic function panel | CPT | 80076 | 20 | $727 | $436.2 | $8.08 | $97.49 | $617.95 |
| Urinalysis non-automated | CPT | 81002 | 20 | $36 | $21.6 | $3.44 | $23.4 | $31.24 |
| Urinalysis automated | CPT | 81003 | 20 | $82 | $49.2 | $2.22 | $27.48 | $69.7 |
| Glucose quantitative | CPT | 82947 | 20 | $338 | $202.8 | $3.89 | $34.17 | $287.3 |
| Hemoglobin A1c | CPT | 83036 | 20 | $694 | $416.4 | $7 | $173.5 | $589.9 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 20 | $364 | $218.4 | $16.6 | $126.4 | $309.4 |
| Complete blood count with automated differential | CPT | 85025 | 20 | $402 | $241.2 | $6 | $67.5 | $341.7 |
| Complete blood count without differential | CPT | 85027 | 20 | $350 | $210 | $6.39 | $56.22 | $297.5 |
| Urine culture bacterial | CPT | 87086 | 20 | $817 | $490.2 | $7.98 | $571.9 | $694.45 |
| Urine culture identification | CPT | 87088 | 20 | $127 | $76.2 | $8 | $70.26 | $107.95 |
| Tissue exam by pathologist level IV | CPT | 88305 | 20 | $1,377 | $826.2 | $10.8 | $198.94 | $1,170.45 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 20 | $1,495 | $897 | $5.66 | $872.07 | $1,270.75 |
| Vaginal delivery only | CPT | 59409 | 19 | $18,801 | $11,281 | $630.14 | $12,691 | $15,981 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 19 | $334 | $200.4 | $36.08 | $233.8 | $397.15 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 19 | $426 | $255.6 | $36.08 | $298.2 | $511.74 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 19 | $500 | $300 | $36.08 | $350 | $636.41 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 19 | $604 | $362.4 | $36.08 | $422.8 | $756.2 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $161 | $96.6 | $22 | $112.7 | $185.11 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $186 | $111.6 | $28.6 | $130.2 | $234.7 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 19 | $246 | $147.6 | $36.08 | $172.2 | $302.38 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 19 | $280 | $168 | $36.08 | $196 | $364.09 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 19 | $334 | $200.4 | $36.08 | $233.8 | $423.12 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 20 | $5,393 | $3,235.8 | $137.74 | $3,505.45 | $4,584.05 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 20 | $7,218 | $4,330.8 | $163.44 | $4,691.7 | $6,135.3 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 20 | $1,248 | $748.8 | $58.47 | $938.75 | $2,302.88 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 20 | $5,393 | $3,235.8 | $70.04 | $3,505.45 | $4,584.05 |
| Colonoscopy diagnostic | CPT | 45378 | 20 | $2,500 | $1,500 | $198.55 | $1,750 | $5,023.1 |
| Colonoscopy with biopsy | CPT | 45380 | 20 | $7,218 | $4,330.8 | $247.96 | $4,691.7 | $6,135.3 |
| Colonoscopy with polyp removal | CPT | 45385 | 20 | $7,218 | $4,330.8 | $294.89 | $4,691.7 | $6,135.3 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 9 | — | — | $931.2 | $15,500 | $19,286 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $6,617.15 | $8,454.85 | $10,293 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $6,620.74 | $8,456.65 | $10,293 |
| Total hip replacement | CPT | 27130 | 9 | — | — | $931.2 | $13,248 | $23,215 |
| Total knee replacement | CPT | 27447 | 9 | — | — | $931.2 | $13,248 | $23,215 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $652.2 | $2,644.32 | $5,760.66 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 9 | — | — | $931.2 | $6,921.14 | $8,687.12 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $597.85 | $2,415.33 | $7,095.95 |
| ACL reconstruction | CPT | 29888 | 9 | — | — | $844.93 | $4,955.54 | $7,491.76 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $5,135.5 | $47,065 | $153,991 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $3,474.33 | $24,805 | $96,087 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $10,293 | $17,575 | $72,214 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $10,293 | $17,663 | $69,230 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $10,293 | $14,366 | $57,565 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $7,621.27 | $35,027 | $178,694 |
| Open appendectomy | CPT | 44950 | 9 | — | — | $931.2 | $6,424.76 | $11,229 |
| Laparoscopic appendectomy | CPT | 44970 | 9 | — | — | $931.2 | $6,007.35 | $11,229 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $10,293 | $15,644 | $20,996 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $10,293 | $11,144 | $11,996 |
| Major joint replacement w MCC | MS-DRG | 469 | 7 | — | — | $10,293 | $31,529 | $118,755 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | — | — | $10,293 | $20,249 | $65,432 |
| Laparoscopic cholecystectomy | CPT | 47562 | 9 | — | — | $931.2 | $6,007.35 | $11,229 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 9 | — | — | $931.2 | $6,007.35 | $11,229 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $10,293 | $32,672 | $218,514 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $10,293 | $23,574 | $183,203 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $10,293 | $18,418 | $70,261 |
| Lap inguinal hernia repair | CPT | 49650 | 9 | — | — | $914.33 | $5,652.97 | $7,095.95 |
| Lap salpingo-oophorectomy | CPT | 58661 | 19 | $17,166 | $10,300 | $931.2 | $11,587 | $14,591 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $27,309 | $32,395 | $116,991 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $15,357 | $18,076 | $69,284 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $14,504 | $17,054 | $55,938 |
| Complex cataract surgery | CPT | 66982 | 9 | — | — | $1,135.81 | $2,348.35 | $9,940.91 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $662.78 | $2,348.35 | $9,940.91 |
| Intravitreal injection | CPT | 67028 | 20 | $4,347 | $2,608.2 | $116.47 | $2,467.92 | $3,694.95 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $12,018 | $14,076 | $47,365 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $19,525 | $21,282 | $55,287 |
| PCI single major coronary artery | CPT | 92920 | 16 | $35,714 | $21,428 | $860.28 | $25,893 | $30,357 |
| PCI with drug-eluting stent | CPT | 92928 | 16 | $54,251 | $32,551 | $931.2 | $39,332 | $46,113 |
| PCI bypass graft | CPT | 92937 | 16 | $54,251 | $32,551 | $517.93 | $39,332 | $46,113 |
| Left heart catheterization | CPT | 93452 | 19 | $19,097 | $11,458 | $931.2 | $12,890 | $16,232 |
| Coronary angiography with cath | CPT | 93455 | 19 | $13,657 | $8,194.2 | $931.2 | $9,218.48 | $11,608 |
| Coronary angiography with bypass cath | CPT | 93458 | 19 | $18,936 | $11,362 | $931.2 | $12,782 | $16,096 |
Payer mix (top 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 168 | $1,462.99 |
| upmc health plan | 168 | $536.42 |
| UnitedHealthcare | 168 | $248.89 |
| Aetna | 167 | $286 |
| pa health & wellness | 164 | $248.89 |
| amerihealth caritas | 164 | $235.49 |
| upmc work partners | 160 | $878.14 |
| Multiplan | 159 | $1,601.88 |
| geisinger | 113 | $207.96 |
| Humana | 111 | $2,768.45 |
| intergroup | 111 | $2,673.25 |
| Cigna | 111 | $183.3 |
| health payors organization | 111 | $2,768.45 |
| fidelis | 111 | $2,442.75 |
| health coalition partners | 111 | $2,605.6 |
| preferred healthcare system | 111 | $2,117.05 |
| private health care systems | 111 | $2,605.6 |
| selectcare | 111 | $2,605.6 |
| First Health | 111 | $2,279.9 |
| health partners plans (jefferson health plan) | 94 | $143.72 |
| premier comp solutions | 18 | $1,344.83 |