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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$931.20 – $24,301

Negotiated median

$7,237.95

CPT 29827 Shoulder arthroscopy with rotator cuff repair · Showing 200 of 623 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Holy Spirit Hospital	PA	Chargemaster	N/A	both	gross	$46,434
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$12,555
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$9,179.66
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$8,639.34
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$6,817.01
Holy Spirit Hospital	PA	Cash pay	N/A	both	cash	$11,093
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$6,277.26
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$4,589.83
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$4,319.67
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$3,408.51
The Washington Hospital	PA	[De-identified Min]	—	outpatient	min	$5,108.02
Temple University Hospital	PA	[De-identified Min]	—	outpatient	min	$1,670.00
Upmc Mckeesport	PA	[De-identified Min]	—	outpatient	min	$1,274.16
Upmc Hamot	PA	[De-identified Min]	—	outpatient	min	$1,262.14
Upmc Carlisle	PA	[De-identified Min]	—	outpatient	min	$1,016.56
Upmc Pinnacle Hospitals	PA	[De-identified Min]	—	outpatient	min	$1,016.56
Williamsport Hospital & Medical Ctr	PA	[De-identified Min]	—	outpatient	min	$993.28
Upmc Mercy Hospital	PA	[De-identified Min]	—	outpatient	min	$958.00
Upmc Shadyside	PA	[De-identified Min]	—	outpatient	min	$931.20
Holy Spirit Hospital	PA	[De-identified Min]	—	both	min	$892.40
Uniontown Hospital	PA	[De-identified Min]	—	outpatient	min	$171.55
Temple University Hospital	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$24,301
Upmc Carlisle	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$21,356
Upmc Carlisle	PA	Blue Cross Blue Shield	CHIP - Managed Care	outpatient	negotiated	$20,034
Upmc Carlisle	PA	Blue Cross Blue Shield	Community Blue PPO	outpatient	negotiated	$19,221
The Washington Hospital	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$15,707
The Washington Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$15,707
The Washington Hospital	PA	Blue Cross Blue Shield	Community Blue PPO	outpatient	negotiated	$14,923
The Washington Hospital	PA	Aetna	Commercial	outpatient	negotiated	$14,643
The Washington Hospital	PA	Blue Cross Blue Shield	Connect Blue EPO	outpatient	negotiated	$14,137
The Washington Hospital	PA	city of washington	Commercial	outpatient	negotiated	$13,621
Temple University Hospital	PA	occunet	Workers' Comp	outpatient	negotiated	$12,584
Temple University Hospital	PA	prime health services	PPO	outpatient	negotiated	$12,140
Temple University Hospital	PA	naphcare	Correctional Healthcare	outpatient	negotiated	$11,440
Temple University Hospital	PA	Oscar Health	Pennsylvania Health Plan	outpatient	negotiated	$11,440
Upmc Hamot	PA	independent health	Commercial	outpatient	negotiated	$11,318
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	CHIP	outpatient	negotiated	$11,128
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$11,128
Upmc Pinnacle Hospitals	PA	keystone health plan	Commercial	outpatient	negotiated	$11,128
Upmc Carlisle	PA	keystone autism services	ACAP	outpatient	negotiated	$10,934
The Washington Hospital	PA	Blue Cross Blue Shield	My Access Blue PPO/My Direct Blue	outpatient	negotiated	$10,603
Temple University Hospital	PA	Cigna	Commercial	outpatient	negotiated	$10,061
Upmc Hamot	PA	independent health	Medicare Advantage	outpatient	negotiated	$9,905.66
Temple University Hospital	PA	gateway health plan	Medicare Advantage	outpatient	negotiated	$9,533.61
Temple University Hospital	PA	wtc health program	Government	outpatient	negotiated	$9,533.61
Temple University Hospital	PA	elder health	PACE	outpatient	negotiated	$9,152.27
Upmc Shadyside	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$8,687.12
Temple University Hospital	PA	geisinger	Commercial	outpatient	negotiated	$8,624.33
Upmc Hamot	PA	Cigna	Medicare	outpatient	negotiated	$8,489.22
Upmc Hamot	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$8,489.22
Upmc Hamot	PA	amerihealth caritas	Medicare	outpatient	negotiated	$8,489.22
Upmc Hamot	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$8,488.44
Upmc Shadyside	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$8,459.24
Upmc Hamot	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$8,410.62
Temple University Hospital	PA	geisinger	Medicare Advantage	outpatient	negotiated	$8,389.58
Temple University Hospital	PA	pennsylvania health and wellness	Medicare Advantage	outpatient	negotiated	$8,389.58
Upmc Hamot	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$8,253.41
Temple University Hospital	PA	Aetna	Medicare Advantage	outpatient	negotiated	$8,237.04
Temple University Hospital	PA	upmc health plan	Medicare Advantage	outpatient	negotiated	$8,160.77
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$8,101.06
Upmc Hamot	PA	WellCare	Medicare Advantage	outpatient	negotiated	$8,096.20
Temple University Hospital	PA	clover health	Medicare Advantage	outpatient	negotiated	$8,084.50
Upmc Hamot	PA	upmc health plan	Partners/Select	outpatient	negotiated	$8,023.89
Upmc Hamot	PA	Aetna	Medicare	outpatient	negotiated	$8,017.60
Temple University Hospital	PA	Cigna	Medicare DSNP/Medicare HMO/Medicare PPO	outpatient	negotiated	$8,008.23
Temple University Hospital	PA	keystone first	Choice DSNP	outpatient	negotiated	$8,008.23
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$7,919.84
Temple University Hospital	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$7,919.84
Upmc Hamot	PA	fidelis	Medicare	outpatient	negotiated	$7,860.39
Temple University Hospital	PA	Aetna	Coventry	outpatient	negotiated	$7,855.70
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$7,818.39
Upmc Carlisle	PA	Cigna	Commercial	outpatient	negotiated	$7,801.00
Temple University Hospital	PA	health partners plans	Medicare Advantage	outpatient	negotiated	$7,779.43
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$7,779.43
Temple University Hospital	PA	innovage	PACE	outpatient	negotiated	$7,779.43
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$7,626.89
Temple University Hospital	PA	Humana	Medicare Advantage	outpatient	negotiated	$7,626.89
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	outpatient	negotiated	$7,626.89
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	outpatient	negotiated	$7,626.89
Temple University Hospital	PA	UnitedHealthcare	VACCN	outpatient	negotiated	$7,626.89
Upmc Pinnacle Hospitals	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,589.31
The Washington Hospital	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$7,539.43
Upmc Pinnacle Hospitals	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$7,519.04
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$7,491.76
Upmc Mercy Hospital	PA	Aetna	Medicare	outpatient	negotiated	$7,491.76
Upmc Shadyside	PA	Aetna	Medicare	outpatient	negotiated	$7,491.76
Upmc Carlisle	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,380.54
Upmc Pinnacle Hospitals	PA	Cigna	Medicare	outpatient	negotiated	$7,378.50
Upmc Mckeesport	PA	amerihealth caritas	Medicare	outpatient	negotiated	$7,355.55
Upmc Mckeesport	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,355.55
Upmc Mckeesport	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$7,355.55
Upmc Mercy Hospital	PA	amerihealth caritas	Medicare	outpatient	negotiated	$7,355.55
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$7,355.55
Upmc Mercy Hospital	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,355.55
Williamsport Hospital & Medical Ctr	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,355.55
Upmc Shadyside	PA	amerihealth caritas	Medicare	outpatient	negotiated	$7,355.55
Upmc Shadyside	PA	Cigna	Medicare Transplant	outpatient	negotiated	$7,355.55
Upmc Shadyside	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,355.55
Upmc Shadyside	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$7,355.55
Upmc Shadyside	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$7,355.55
Williamsport Hospital & Medical Ctr	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$7,354.86
Upmc Pinnacle Hospitals	PA	Aetna	Medicare	outpatient	negotiated	$7,329.31
Upmc Carlisle	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$7,312.20
Williamsport Hospital & Medical Ctr	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$7,287.44
Upmc Pinnacle Hospitals	PA	Humana	Medicare	outpatient	negotiated	$7,237.95
The Washington Hospital	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$7,179.83
Upmc Carlisle	PA	Cigna	Medicare	outpatient	negotiated	$7,175.52
Upmc Carlisle	PA	geisinger	Medicare	outpatient	negotiated	$7,175.52
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$7,151.22
Upmc Mercy Hospital	PA	Aetna	Medicare	outpatient	negotiated	$7,151.22
Upmc Carlisle	PA	Aetna	Medicare	outpatient	negotiated	$7,127.68
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	Freedom Blue Medicare Advantage	outpatient	negotiated	$7,061.57
Williamsport Hospital & Medical Ctr	PA	amerihealth caritas	Medicare	outpatient	negotiated	$7,015.01
Williamsport Hospital & Medical Ctr	PA	Aetna	Medicare	outpatient	negotiated	$7,015.01
Upmc Mercy Hospital	PA	upmc health plan	EPO Partners/EPO Select Plan/HMO	outpatient	negotiated	$6,989.13
Upmc Mckeesport	PA	upmc health plan	EPO Partners/EPO Select Plan/HMO	outpatient	negotiated	$6,986.41
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	outpatient	negotiated	$6,956.87
The Washington Hospital	PA	upmc health plan	EPO Select Plan/HMO	outpatient	negotiated	$6,946.90
The Washington Hospital	PA	health plan of upper ohio valley	Medicare	outpatient	negotiated	$6,946.90
Williamsport Hospital & Medical Ctr	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$6,946.90
The Washington Hospital	PA	Aetna	Medicare	outpatient	negotiated	$6,878.80
The Washington Hospital	PA	Humana	Medicare	outpatient	negotiated	$6,878.80
Williamsport Hospital & Medical Ctr	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	outpatient	negotiated	$6,877.43
Upmc Carlisle	PA	Humana	Medicare	outpatient	negotiated	$6,833.83
The Washington Hospital	PA	senior life	All	outpatient	negotiated	$6,810.69
The Washington Hospital	PA	Aetna	Advantra Washington Prime	outpatient	negotiated	$6,810.69
Upmc Carlisle	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	outpatient	negotiated	$6,765.49
Upmc Carlisle	PA	Blue Cross Blue Shield	Freedom Blue Medicare Advantage	outpatient	negotiated	$6,765.49
The Washington Hospital	PA	Blue Cross Blue Shield	Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$6,540.31
Upmc Shadyside	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$6,486.72
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$6,433.42
Upmc Pinnacle Hospitals	PA	Aetna	Commercial	outpatient	negotiated	$6,409.00
Temple University Hospital	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$6,368.00
The Washington Hospital	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage	outpatient	negotiated	$6,338.03
Upmc Mckeesport	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$6,312.83
Upmc Hamot	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$6,102.13
Temple University Hospital	PA	Aetna	Commercial	outpatient	negotiated	$5,992.00
Temple University Hospital	PA	Aetna	First Health	outpatient	negotiated	$5,992.00
Temple University Hospital	PA	Aetna	Workers' Comp	outpatient	negotiated	$5,992.00
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$5,838.06
Upmc Mercy Hospital	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$5,677.39
The Washington Hospital	PA	Blue Cross Blue Shield	Medicaid	outpatient	negotiated	$5,448.55
Upmc Pinnacle Hospitals	PA	Aetna	PEBTF ACO	outpatient	negotiated	$5,448.00
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	CHIP	outpatient	negotiated	$5,209.91
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$5,209.91
The Washington Hospital	PA	upmc health plan	Managed Medicaid	outpatient	negotiated	$5,108.02
Upmc Pinnacle Hospitals	PA	Aetna	ACO	outpatient	negotiated	$4,935.00
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	outpatient	negotiated	$4,889.00
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$4,803.66
Upmc Hamot	PA	upmc health plan	Commercial	outpatient	negotiated	$4,472.68
Upmc Shadyside	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$4,229.62
Upmc Hamot	PA	Blue Cross Blue Shield	Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission	outpatient	negotiated	$3,813.86
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$3,806.67
Upmc Carlisle	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$3,758.61
Upmc Mckeesport	PA	upmc health plan	CHIP	outpatient	negotiated	$3,602.54
Upmc Mercy Hospital	PA	upmc health plan	CHIP	outpatient	negotiated	$3,602.54
Upmc Carlisle	PA	upmc health plan	CHIP	outpatient	negotiated	$3,602.54
Upmc Pinnacle Hospitals	PA	upmc health plan	CHIP	outpatient	negotiated	$3,602.54
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$3,571.52
Upmc Hamot	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$3,547.20
Upmc Shadyside	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$3,158.48
Upmc Hamot	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$2,849.00
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$2,842.61
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$2,666.81
Temple University Hospital	PA	keystone first	CHIP	outpatient	negotiated	$2,634.16
Temple University Hospital	PA	keystone first	Community HealthChoices	outpatient	negotiated	$2,634.16
Upmc Shadyside	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$2,569.17
Upmc Mercy Hospital	PA	upmc health plan	Commercial	outpatient	negotiated	$2,263.36
Upmc Mercy Hospital	PA	upmc work partners	Workers Comp	outpatient	negotiated	$2,209.49
Upmc Shadyside	PA	upmc work partners	Workers Comp	outpatient	negotiated	$2,209.49
Williamsport Hospital & Medical Ctr	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$2,157.36
Williamsport Hospital & Medical Ctr	PA	three rivers provider network	All	outpatient	negotiated	$2,089.24
Upmc Carlisle	PA	upmc work partners	Workers Comp	outpatient	negotiated	$2,043.82
Upmc Mckeesport	PA	upmc work partners	Workers Comp	outpatient	negotiated	$1,952.98
Williamsport Hospital & Medical Ctr	PA	upmc work partners	Workers Comp	outpatient	negotiated	$1,952.98
Upmc Hamot	PA	upmc work partners	Workers Comp	outpatient	negotiated	$1,952.98
Temple University Hospital	PA	health partners plans	CHIP	outpatient	negotiated	$1,670.00
Temple University Hospital	PA	health partners plans	Medicaid	outpatient	negotiated	$1,670.00
Upmc Shadyside	PA	upmc health plan	Commercial	outpatient	negotiated	$1,370.57
Upmc Mckeesport	PA	upmc health plan	Commercial	outpatient	negotiated	$1,292.54
Upmc Mckeesport	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$1,274.16
Upmc Shadyside	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$1,274.16
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$1,262.14
Upmc Hamot	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$1,262.14
Upmc Carlisle	PA	UnitedHealthcare	PA Medicaid	outpatient	negotiated	$1,016.56
Upmc Pinnacle Hospitals	PA	UnitedHealthcare	PA Medicaid	outpatient	negotiated	$1,016.56
Williamsport Hospital & Medical Ctr	PA	UnitedHealthcare	PA Medicaid	outpatient	negotiated	$993.28
Upmc Mercy Hospital	PA	private health care systems	PPO	outpatient	negotiated	$958.00
Upmc Shadyside	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$931.20
Holy Spirit Hospital	PA	[De-identified Max]	—	both	max	$37,147
Temple University Hospital	PA	[De-identified Max]	—	outpatient	max	$24,301
Upmc Carlisle	PA	[De-identified Max]	—	outpatient	max	$21,356
The Washington Hospital	PA	[De-identified Max]	—	outpatient	max	$15,707
Uniontown Hospital	PA	[De-identified Max]	—	outpatient	max	$15,614
Upmc Hamot	PA	[De-identified Max]	—	outpatient	max	$11,318
Upmc Pinnacle Hospitals	PA	[De-identified Max]	—	outpatient	max	$11,128
Upmc Shadyside	PA	[De-identified Max]	—	outpatient	max	$8,687.12
Upmc Mercy Hospital	PA	[De-identified Max]	—	outpatient	max	$7,818.39
Upmc Mckeesport	PA	[De-identified Max]	—	outpatient	max	$7,491.76
Williamsport Hospital & Medical Ctr	PA	[De-identified Max]	—	outpatient	max	$7,355.55

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).