▸ Hospital · · CCN 399803
Upmc Children's Hospital Of Pgh - Transplant Ctr
Compliance grade
A
100/100
Procedures tracked
172
of 209 target codes
Payers
13
with negotiated rates
Rates published
23,590
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 8 | — | — | $11,495 | $12,415 | $20,949 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $624 | $374.4 | $21 | $176.68 | $499.2 |
| ED visit level 2 | CPT | 99282 | 12 | $827 | $496.2 | $35 | $264.38 | $661.6 |
| ED visit level 3 | CPT | 99283 | 12 | $1,182 | $709.2 | $79 | $355.1 | $945.6 |
| ED visit level 4 | CPT | 99284 | 12 | $1,687 | $1,012.2 | $123 | $448.5 | $1,349.6 |
| ED visit level 5 | CPT | 99285 | 12 | $2,415 | $1,449 | $174.21 | $551.5 | $1,932 |
| Critical care, first hour | CPT | 99291 | 12 | $4,101 | $2,460.6 | $151.63 | $582.06 | $3,280.8 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $1,602 | $961.2 | $77.5 | $801 | $1,281.6 |
| CT head with contrast | CPT | 70460 | 12 | $1,934 | $1,160.4 | $80 | $967 | $1,547.2 |
| CT head with and without contrast | CPT | 70470 | 12 | $2,367 | $1,420.2 | $100 | $1,183.5 | $1,893.6 |
| CT neck with contrast | CPT | 70491 | 12 | $2,038 | $1,222.8 | $82.5 | $1,019 | $1,630.4 |
| MRI brain without contrast | CPT | 70551 | 12 | $2,832 | $1,699.2 | $269 | $1,416 | $2,265.6 |
| MRI brain with contrast | CPT | 70552 | 12 | $2,832 | $1,699.2 | $269 | $1,416 | $2,336.44 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $4,340 | $2,604 | $269 | $2,170 | $4,153.86 |
| Chest X-ray single view | CPT | 71045 | 12 | $139 | $83.4 | $6.43 | $69.5 | $124.23 |
| Chest X-ray 2 views | CPT | 71046 | 12 | $288 | $172.8 | $11.78 | $135.02 | $230.4 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $285 | $171 | $14.98 | $142.5 | $248.04 |
| CT chest without contrast | CPT | 71250 | 12 | $2,015 | $1,209 | $83.1 | $1,007.5 | $1,612 |
| CT chest with contrast | CPT | 71260 | 13 | $2,356 | $1,413.6 | $87.5 | $777.62 | $1,884.8 |
| CT chest with and without contrast | CPT | 71270 | 12 | $2,872 | $1,723.2 | $103.5 | $1,436 | $2,297.6 |
| MRI chest without contrast | CPT | 71550 | 12 | $2,832 | $1,699.2 | $269 | $1,416 | $2,265.6 |
| MRI chest with contrast | CPT | 71551 | 12 | $5,549 | $3,329.4 | $312.2 | $2,774.5 | $7,140.63 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $4,340 | $2,604 | $425 | $2,170 | $3,472 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $348 | $208.8 | $22.5 | $123.54 | $278.4 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $2,015 | $1,209 | $83.1 | $1,007.5 | $1,612 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $2,015 | $1,209 | $90.6 | $1,007.5 | $1,612 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $2,343 | $1,405.8 | $88.1 | $1,029.34 | $1,874.4 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $2,832 | $1,699.2 | $269 | $1,416 | $2,265.6 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $2,832 | $1,699.2 | $187.2 | $1,416 | $2,265.6 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $2,832 | $1,699.2 | $187.2 | $1,416 | $2,265.6 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $3,018 | $1,810.8 | $269 | $1,509 | $2,414.4 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $4,340 | $2,604 | $269 | $2,170 | $4,177.9 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $4,340 | $2,604 | $269 | $2,170 | $4,134.82 |
| CT pelvis without contrast | CPT | 72192 | 12 | $1,988 | $1,192.8 | $67.5 | $994 | $1,590.4 |
| CT pelvis with contrast | CPT | 72193 | 12 | $2,262 | $1,357.2 | $86.5 | $1,131 | $1,809.6 |
| Shoulder X-ray | CPT | 73030 | 10 | $288 | $172.8 | $35.47 | $144 | $230.4 |
| Humerus X-ray | CPT | 73060 | 10 | $252 | $151.2 | $35.48 | $126 | $201.6 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $299 | $179.4 | $33.29 | $149.5 | $239.2 |
| MRI upper extremity joint without contrast | CPT | 73221 | 10 | $2,832 | $1,699.2 | $400 | $1,500.96 | $2,265.6 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $4,340 | $2,604 | $425 | $2,267.27 | $3,472 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $273 | $163.8 | $32.47 | $136.5 | $218.4 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $301 | $180.6 | $33.29 | $150.5 | $240.8 |
| MRI lower extremity joint without contrast | CPT | 73721 | 10 | $2,832 | $1,699.2 | $400 | $1,500.96 | $2,265.6 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 10 | $4,340 | $2,604 | $425 | $2,300.2 | $3,472 |
| CT abdomen without contrast | CPT | 74150 | 12 | $1,961 | $1,176.6 | $77.5 | $980.5 | $1,568.8 |
| CT abdomen with contrast | CPT | 74160 | 12 | $2,305 | $1,383 | $90 | $1,152.5 | $1,844 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $2,791 | $1,674.6 | $111.5 | $1,395.5 | $2,232.8 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $3,948 | $2,368.8 | $101.07 | $1,974 | $3,158.4 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $4,563 | $2,737.8 | $192.73 | $2,281.5 | $4,306.59 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $5,503 | $3,301.8 | $254.7 | $2,751.5 | $5,014.34 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $2,832 | $1,699.2 | $269 | $1,416 | $2,265.6 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $4,340 | $2,604 | $425 | $2,056.88 | $3,472 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $1,012 | $607.2 | $57.5 | $416.14 | $809.6 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $693 | $415.8 | $37.5 | $299.26 | $554.4 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $1,211 | $726.6 | $49 | $418.71 | $968.8 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $1,138 | $682.8 | $38.39 | $490.84 | $910.4 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $1,138 | $682.8 | $46.5 | $486.98 | $910.4 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $3,326 | $1,995.6 | $91.42 | $679.67 | $2,660.8 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $936 | $561.6 | $46.5 | $350.56 | $748.8 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $983 | $589.8 | $46.5 | $334.32 | $786.4 |
| Scrotal ultrasound | CPT | 76870 | 12 | $928 | $556.8 | $44 | $322.84 | $742.4 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $793 | $475.8 | $57.72 | $380.45 | $634.4 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $972 | $583.2 | $73.61 | $486 | $777.6 |
| Screening mammography bilateral | CPT | 77067 | 11 | $575 | $345 | $60.95 | $287.5 | $600.84 |
| EKG tracing only | CPT | 93005 | 13 | $225 | $135 | $10.46 | $60.37 | $180 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $2,440 | $1,464 | $98.14 | $879.76 | $1,952 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $2,137 | $1,282.2 | $95 | $561.06 | $1,709.6 |
| Stress echocardiogram | CPT | 93350 | 12 | $2,225 | $1,335 | $46.5 | $515.2 | $1,780 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $9,674.01 | $17,873 | $30,161 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $8,314.23 | $9,326.69 | $15,152 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $5,632.25 | $6,364.45 | $10,265 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $9,674.01 | $13,889 | $23,437 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $9,115.79 | $9,845.05 | $16,613 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $6,937.43 | $7,839.3 | $12,643 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $5,304.64 | $5,994.25 | $9,674.01 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $6,632.12 | $7,494.3 | $12,087 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $5,204.09 | $5,880.63 | $9,674.01 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $9,674.01 | $14,257 | $24,058 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $7,563.7 | $8,546.99 | $13,785 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $5,950.73 | $6,724.33 | $10,845 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $9,674.01 | $11,410 | $19,254 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $6,986.81 | $7,895.1 | $12,733 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $4,738.5 | $5,354.51 | $9,674.01 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $9,674.01 | $10,701 | $18,058 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $6,054.4 | $6,841.47 | $11,034 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $4,739.24 | $5,355.34 | $9,674.01 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $8,070.65 | $9,119.84 | $14,709 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $5,218.23 | $5,896.6 | $9,674.01 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $6,415.68 | $7,249.72 | $11,692 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $12,901 | $13,933 | $23,512 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $9,548.65 | $10,313 | $17,402 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $6,661.75 | $7,194.69 | $12,141 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $15,986 | $17,265 | $29,134 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $8,421.22 | $9,094.92 | $15,347 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $181 | $108.6 | $8.36 | $13.45 | $144.8 |
| Electrolyte panel | CPT | 80051 | 13 | $193 | $115.8 | $6.92 | $10.06 | $154.4 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $260 | $156 | $10.43 | $16.8 | $208 |
| Lipid panel | CPT | 80061 | 13 | $239 | $143.4 | $13.24 | $20.11 | $191.2 |
| Renal function panel | CPT | 80069 | 13 | $193 | $115.8 | $8.58 | $13.79 | $154.4 |
| Hepatic function panel | CPT | 80076 | 13 | $260 | $156 | $8.08 | $12.97 | $208 |
| Urinalysis non-automated | CPT | 81002 | 12 | $31 | $18.6 | $3.44 | $5.29 | $28.62 |
| Urinalysis automated | CPT | 81003 | 13 | $76 | $45.6 | $2.22 | $4.49 | $60.8 |
| Glucose quantitative | CPT | 82947 | 13 | $78 | $46.8 | $3.89 | $5.75 | $62.4 |
| Hemoglobin A1c | CPT | 83036 | 13 | $144 | $86.4 | $7 | $10.49 | $115.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $210 | $126 | $16.6 | $32.37 | $168 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $149 | $89.4 | $6 | $8.65 | $119.2 |
| Complete blood count without differential | CPT | 85027 | 13 | $109 | $65.4 | $6.39 | $10.8 | $87.2 |
| Urine culture bacterial | CPT | 87086 | 12 | $172 | $103.2 | $7.98 | $11.86 | $137.6 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $329 | $197.4 | $9 | $72.46 | $263.2 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 12 | $512 | $307.2 | $4.72 | $256 | $457.88 |
| Vaginal delivery only | CPT | 59409 | 11 | $13,746 | $8,247.6 | $1,111.99 | $5,073.4 | $10,997 |
| Vaginal delivery with postpartum | CPT | 59410 | 12 | $17,621 | $10,573 | $1,643.85 | $3,493.61 | $14,097 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 12 | $345 | $207 | $20 | $60.32 | $276 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | $384 | $230.4 | $20 | $81.81 | $307.2 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 12 | $457 | $274.2 | $20 | $134.02 | $371.06 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | $573 | $343.8 | $30 | $174.31 | $458.4 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | $291 | $174.6 | $6 | $34.08 | $232.8 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 12 | $345 | $207 | $20 | $58.2 | $276 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 12 | $384 | $230.4 | $20 | $53.87 | $307.2 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 12 | $457 | $274.2 | $20 | $80.7 | $365.6 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 12 | $573 | $343.8 | $20 | $115.75 | $458.4 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | $2,793 | $1,675.8 | $125.22 | $965.36 | $2,234.4 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 12 | $2,793 | $1,675.8 | $148.58 | $965.36 | $2,524.07 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 12 | $997 | $598.2 | $53.15 | $511.06 | $1,141.04 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 12 | $2,432 | $1,459.2 | $63.67 | $938.75 | $1,945.6 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | $2,500 | $1,500 | $180.5 | $938.75 | $2,523.09 |
| Colonoscopy with biopsy | CPT | 45380 | 12 | $2,941 | $1,764.6 | $225.42 | $1,214.04 | $2,504.97 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | $2,941 | $1,764.6 | $268.08 | $1,214.04 | $2,503.39 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 7 | — | — | $2,617.92 | $18,174 | $18,935 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $9,674.01 | $9,674.01 | $9,674.01 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $9,674.01 | $9,674.01 | $9,674.01 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $2,469.3 | $13,187 | $21,547 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $2,665.46 | $13,187 | $14,888 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | — | — | $3,091.05 | $4,584.84 | $6,078.62 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 3 | — | — | $836.96 | $2,397.37 | $2,893.53 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $1,262.14 | $7,059.96 | $7,355.55 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $543.5 | $1,862.21 | $3,541.55 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $836.96 | $7,059.96 | $7,355.55 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $9,674.01 | $40,853 | $68,938 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $9,674.01 | $21,306 | $35,953 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $9,674.01 | $14,957 | $25,240 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $9,674.01 | $15,035 | $25,371 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $9,674.01 | $12,139 | $20,484 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $9,674.01 | $30,282 | $51,100 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $1,104.2 | $6,166.58 | $6,424.76 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $1,067.82 | $5,765.94 | $6,007.35 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $9,674.01 | $9,674.01 | $9,674.01 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $9,674.01 | $9,674.01 | $9,674.01 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $9,674.01 | $26,959 | $45,492 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $9,674.01 | $17,144 | $28,930 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $1,414.39 | $5,765.94 | $6,007.35 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $1,521.52 | $5,765.94 | $6,007.35 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $9,674.01 | $25,884 | $43,679 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $9,674.01 | $18,616 | $31,413 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $9,674.01 | $14,496 | $24,462 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $818.32 | $5,765.94 | $6,007.35 |
| Total abdominal hysterectomy | CPT | 58150 | 3 | — | — | $1,657.58 | $3,626.62 | $5,476 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $1,432.63 | $5,082.81 | $5,539.15 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $1,761.78 | $6,007.35 | $7,362.07 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $1,582.65 | $10,289 | $10,720 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | $12,649 | $7,589.4 | $1,232.68 | $6,007.35 | $10,119 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $23,762 | $25,663 | $43,305 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $13,170 | $14,223 | $24,001 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $12,413 | $13,406 | $22,623 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | — | — | $602.53 | $2,217.45 | $5,618.11 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $10,210 | $11,027 | $18,608 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $16,863 | $18,212 | $30,732 |
| PCI single major coronary artery | CPT | 92920 | 11 | $9,305 | $5,583 | $773.91 | $5,117.75 | $7,444 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | $16,971 | $10,183 | $859.73 | $8,960.22 | $13,577 |
| Left heart catheterization | CPT | 93452 | 11 | $12,607 | $7,564.2 | $1,046.36 | $3,731.68 | $10,086 |
| Coronary angiography with cath | CPT | 93455 | 11 | $16,670 | $10,002 | $1,277.57 | $4,324.96 | $13,336 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $16,608 | $9,964.8 | $1,309.04 | $5,433.53 | $13,286 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 168 | $545.04 |
| upmc health plan | 167 | $1,285.59 |
| UnitedHealthcare | 165 | $956.42 |
| pa health & wellness | 165 | $319.03 |
| Cigna | 165 | $2,225.75 |
| upmc work partners | 158 | $400 |
| amerihealth caritas | 155 | $234.33 |
| Aetna | 152 | $269 |
| geisinger | 152 | $373.88 |
| private health care systems | 107 | $1,568.8 |
| preferred healthcare system | 107 | $980.5 |
| health partners plans (jefferson health plan) | 93 | $104.44 |
| cbhnp | 15 | $9.36 |