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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

$681.00 – $24,301

Negotiated median

$7,179.83

CPT 29888 ACL reconstruction · Showing 200 of 544 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	$21,734
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$17,819
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$14,757
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$9,134.66
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$7,222.25
Holy Spirit Hospital	PA	Cash pay	N/A	both	cash	$11,093
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$10,867
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$8,909.50
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$7,378.25
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$4,567.33
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$3,611.13
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 Carlisle	PA	[De-identified Min]	—	outpatient	min	$1,016.56
Upmc Pinnacle Hospitals	PA	[De-identified Min]	—	outpatient	min	$1,016.56
Holy Spirit Hospital	PA	[De-identified Min]	—	both	min	$892.40
Upmc Jameson	PA	[De-identified Min]	—	outpatient	min	$851.73
Upmc Shadyside	PA	[De-identified Min]	—	outpatient	min	$844.93
Upmc Hamot	PA	[De-identified Min]	—	outpatient	min	$836.96
Altoona Regional Health System	PA	[De-identified Min]	—	outpatient	min	$836.96
Upmc Mercy Hospital	PA	[De-identified Min]	—	outpatient	min	$681.00
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
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$10,801
The Washington Hospital	PA	Blue Cross Blue Shield	My Access Blue PPO/My Direct Blue	outpatient	negotiated	$10,603
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$10,560
Temple University Hospital	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$10,560
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
Upmc Jameson	PA	occunet	Commercial	outpatient	negotiated	$9,194.43
Temple University Hospital	PA	elder health	PACE	outpatient	negotiated	$9,152.27
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 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
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
Upmc Hamot	PA	fidelis	Medicare	outpatient	negotiated	$7,860.39
Temple University Hospital	PA	Aetna	Coventry	outpatient	negotiated	$7,855.70
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 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 Jameson	PA	amerihealth caritas	Medicare	outpatient	negotiated	$7,355.55
Upmc Jameson	PA	Cigna	Medicare	outpatient	negotiated	$7,355.55
Upmc Jameson	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	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
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
Altoona Regional Health System	PA	Cigna	Medicare	outpatient	negotiated	$7,355.55
Altoona Regional Health System	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$7,355.55
Altoona Regional Health System	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$7,355.55
Altoona Regional Health System	PA	amerihealth caritas	Medicare	outpatient	negotiated	$7,355.55
Upmc Jameson	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
Altoona Regional Health System	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 Mercy Hospital	PA	Aetna	Medicare	outpatient	negotiated	$7,151.22
Upmc Jameson	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$7,140.00
Upmc Carlisle	PA	Aetna	Medicare	outpatient	negotiated	$7,127.68
Upmc Jameson	PA	upmc health plan	EPO Partners/Partners/Select	outpatient	negotiated	$7,111.72
Upmc Jameson	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$7,098.10
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	Freedom Blue Medicare Advantage	outpatient	negotiated	$7,061.57
Upmc Mercy Hospital	PA	upmc health plan	EPO Partners/EPO Select Plan/HMO	outpatient	negotiated	$6,989.13
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
The Washington Hospital	PA	Aetna	Medicare	outpatient	negotiated	$6,878.80
The Washington Hospital	PA	Humana	Medicare	outpatient	negotiated	$6,878.80
Upmc Carlisle	PA	Humana	Medicare	outpatient	negotiated	$6,833.83
Upmc Jameson	PA	Humana	Medicare	outpatient	negotiated	$6,810.69
Upmc Jameson	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$6,810.69
Upmc Jameson	PA	Aetna	Medicare	outpatient	negotiated	$6,810.69
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 Carlisle	PA	Cigna	Commercial	outpatient	negotiated	$6,413.00
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 Shadyside	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$5,760.66
Upmc Mercy Hospital	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$5,677.39
Upmc Shadyside	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$5,609.55
The Washington Hospital	PA	Blue Cross Blue Shield	Medicaid	outpatient	negotiated	$5,448.55
Temple University Hospital	PA	geisinger	Commercial	outpatient	negotiated	$5,396.78
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$5,184.59
The Washington Hospital	PA	upmc health plan	Managed Medicaid	outpatient	negotiated	$5,108.02
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	outpatient	negotiated	$4,889.00
Upmc Pinnacle Hospitals	PA	Aetna	Commercial	outpatient	negotiated	$4,854.00
Upmc Shadyside	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$4,301.52
Upmc Pinnacle Hospitals	PA	Aetna	PEBTF ACO	outpatient	negotiated	$4,126.00
Upmc Shadyside	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$4,058.06
Upmc Hamot	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$4,046.49
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$3,871.38
Upmc Carlisle	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$3,758.61
Temple University Hospital	PA	Aetna	Commercial	outpatient	negotiated	$3,748.00
Temple University Hospital	PA	Aetna	First Health	outpatient	negotiated	$3,748.00
Temple University Hospital	PA	Aetna	Workers' Comp	outpatient	negotiated	$3,748.00
Upmc Pinnacle Hospitals	PA	Aetna	ACO	outpatient	negotiated	$3,737.00
Upmc Mercy Hospital	PA	upmc work partners	Workers Comp	outpatient	negotiated	$3,489.93
Upmc Shadyside	PA	upmc work partners	Workers Comp	outpatient	negotiated	$3,489.93
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	CHIP	outpatient	negotiated	$3,454.83
Upmc Pinnacle Hospitals	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$3,454.83
Upmc Hamot	PA	upmc work partners	Workers Comp	outpatient	negotiated	$3,426.32
Upmc Pinnacle Hospitals	PA	upmc work partners	Workers Comp	outpatient	negotiated	$3,310.17
Upmc Hamot	PA	upmc health plan	Commercial	outpatient	negotiated	$3,296.23
Upmc Carlisle	PA	upmc work partners	Workers Comp	outpatient	negotiated	$3,269.34
Upmc Jameson	PA	upmc work partners	Workers Comp	outpatient	negotiated	$3,163.05
Upmc Jameson	PA	Cigna	Commercial	outpatient	negotiated	$3,141.63
Upmc Hamot	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$2,849.00
Upmc Shadyside	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$2,804.78
Upmc Hamot	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$2,794.87
Upmc Jameson	PA	upmc health plan	CHIP	outpatient	negotiated	$2,654.96
Upmc Mercy Hospital	PA	upmc health plan	CHIP	outpatient	negotiated	$2,654.96
Upmc Carlisle	PA	upmc health plan	CHIP	outpatient	negotiated	$2,654.96
Upmc Pinnacle Hospitals	PA	upmc health plan	CHIP	outpatient	negotiated	$2,654.96
Altoona Regional Health System	PA	upmc health plan	CHIP	outpatient	negotiated	$2,654.96
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 Hamot	PA	Blue Cross Blue Shield	Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission	outpatient	negotiated	$2,529.08
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$2,524.30
Upmc Shadyside	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$2,094.48
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$1,885.01
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 Mercy Hospital	PA	upmc health plan	Commercial	outpatient	negotiated	$1,668.03
Upmc Jameson	PA	upmc health plan	Commercial	outpatient	negotiated	$1,636.45
Upmc Carlisle	PA	UnitedHealthcare	PA Medicaid	outpatient	negotiated	$1,016.56
Upmc Pinnacle Hospitals	PA	UnitedHealthcare	PA Medicaid	outpatient	negotiated	$1,016.56
Upmc Shadyside	PA	upmc health plan	Commercial	outpatient	negotiated	$1,010.07
Upmc Shadyside	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$931.20
Upmc Jameson	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$892.40
Upmc Jameson	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	$851.73
Upmc Shadyside	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$844.93
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$836.96
Upmc Hamot	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$836.96
Upmc Mercy Hospital	PA	private health care systems	PPO	outpatient	negotiated	$681.00
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 Jameson	PA	[De-identified Max]	—	outpatient	max	$9,194.43
Upmc Mercy Hospital	PA	[De-identified Max]	—	outpatient	max	$7,491.76
Upmc Shadyside	PA	[De-identified Max]	—	outpatient	max	$7,491.76
Altoona Regional Health System	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).