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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

Hospitals

Payers

Negotiated range

$425 – $3,704

Negotiated median

$547.56

CPT 99204 Office visit, new patient, 45-59 min · Showing 200 of 1,859 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
UPMC NORTHWEST HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$3,704
JEANES HOSPITAL	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,261.26
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,201.2
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	outpatient	negotiated	$1,129
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	outpatient	negotiated	$1,129
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$1,129
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$1,129
TEMPLE UNIVERSITY HOSPITAL	PA	magellan health	Behavioral Health	outpatient	negotiated	$993
UPMC MCKEESPORT	PA	Humana	Commercial	outpatient	negotiated	$722.5
UPMC MCKEESPORT	PA	Humana	Commercial	inpatient	negotiated	$722.5
UPMC MCKEESPORT	PA	private health care systems	PPO	inpatient	negotiated	$680
UPMC MCKEESPORT	PA	selectcare	Commercial	outpatient	negotiated	$680
UPMC MCKEESPORT	PA	selectcare	Commercial	inpatient	negotiated	$680
UPMC MCKEESPORT	PA	private health care systems	PPO	outpatient	negotiated	$680
WELLSBORO	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$666.9
WELLSBORO	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$666.9
WELLSBORO	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$652.65
WELLSBORO	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$652.65
UPMC SHADYSIDE	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$636.41
UPMC JAMESON	PA	national provider network	PPO	outpatient	negotiated	$636.24
UPMC JAMESON	PA	national provider network	PPO	inpatient	negotiated	$636.24
DIVINE PROVIDENCE HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$631.8
WELLSBORO	PA	america's choice	PPO	inpatient	negotiated	$631.8
WELLSBORO	PA	america's choice	PPO	outpatient	negotiated	$631.8
LOCK HAVEN HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$631.8
WELLSBORO	PA	intergroup	PPO	outpatient	negotiated	$631.8
WELLSBORO	PA	intergroup	PPO	inpatient	negotiated	$631.8
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	three rivers provider network	All	inpatient	negotiated	$631.8
WELLSBORO	PA	intergroup	PPO	outpatient	negotiated	$618.3
WELLSBORO	PA	america's choice	PPO	outpatient	negotiated	$618.3
WELLSBORO	PA	intergroup	PPO	inpatient	negotiated	$618.3
WELLSBORO	PA	america's choice	PPO	inpatient	negotiated	$618.3
UPMC HORIZON HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$614.55
UPMC HORIZON HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$614.55
WELLSBORO	PA	Aetna	Commercial	inpatient	negotiated	$605.83
WELLSBORO	PA	Aetna	Commercial	outpatient	negotiated	$605.83
WELLSBORO	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$596.7
WELLSBORO	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$596.7
UPMC MCKEESPORT	PA	First Health	Commercial	outpatient	negotiated	$595
UPMC MCKEESPORT	PA	First Health	Commercial	inpatient	negotiated	$595
WELLSBORO	PA	Aetna	Commercial	outpatient	negotiated	$592.88
WELLSBORO	PA	Aetna	Commercial	inpatient	negotiated	$592.88
UPMC HORIZON HOSPITAL	PA	prime net	Commercial	inpatient	negotiated	$592.86
UPMC HORIZON HOSPITAL	PA	prime net	Commercial	outpatient	negotiated	$592.86
UPMC EAST HOSPITAL	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$585.14
UPMC ST MARGARET	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$585.14
WELLSBORO	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$583.95
WELLSBORO	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$583.95
UPMC HORIZON HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$578.4
UPMC JAMESON	PA	Humana	Commercial	outpatient	negotiated	$578.4
UPMC JAMESON	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	outpatient	negotiated	$578.4
UPMC JAMESON	PA	Humana	Commercial	inpatient	negotiated	$578.4
UPMC HORIZON HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$578.4
CHARLES COLE MEMORIAL HOSPITAL	PA	Aetna	Commercial	outpatient	negotiated	$574
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	outpatient	negotiated	$567.8
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	inpatient	negotiated	$567.8
UPMC EAST HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$567.2
UPMC EAST HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$567.2
DIVINE PROVIDENCE HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$561.6
LOCK HAVEN HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$561.6
DIVINE PROVIDENCE HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$561.6
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	america's choice	PPO	outpatient	negotiated	$561.6
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	intergroup	PPO	inpatient	negotiated	$561.6
DIVINE PROVIDENCE HOSPITAL	PA	america's choice	PPO	outpatient	negotiated	$561.6
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	america's choice	PPO	inpatient	negotiated	$561.6
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	intergroup	PPO	outpatient	negotiated	$561.6
LOCK HAVEN HOSPITAL	PA	america's choice	PPO	inpatient	negotiated	$561.6
DIVINE PROVIDENCE HOSPITAL	PA	america's choice	PPO	inpatient	negotiated	$561.6
LOCK HAVEN HOSPITAL	PA	america's choice	PPO	outpatient	negotiated	$561.6
LOCK HAVEN HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$561.6
CHARLES COLE MEMORIAL HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	galaxy health plan	Commercial	outpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	PPO/Auto	outpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	galaxy health plan	Commercial	inpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	PPO/Auto	inpatient	negotiated	$560
CHARLES COLE MEMORIAL HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$560
UPMC PASSAVANT	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$558.02
UPMC ST MARGARET	PA	Humana	Commercial	outpatient	negotiated	$550.8
UPMC ST MARGARET	PA	Humana	Commercial	inpatient	negotiated	$550.8
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$550
JEANES HOSPITAL	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$550
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$547.56
LOCK HAVEN HOSPITAL	PA	Multiplan	Auto	outpatient	negotiated	$547.56
WELLSBORO	PA	Multiplan	Auto	inpatient	negotiated	$547.56
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$547.56
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$547.56
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$547.56
LOCK HAVEN HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$547.56
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	Auto	outpatient	negotiated	$547.56
LOCK HAVEN HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$547.56
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$547.56
WELLSBORO	PA	Multiplan	Auto	outpatient	negotiated	$547.56
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	Auto	inpatient	negotiated	$547.56
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$547.56
LOCK HAVEN HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$547.56
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$547.56
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	Auto	outpatient	negotiated	$547.56
UPMC JAMESON	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	inpatient	negotiated	$542.25
WELLSBORO	PA	Multiplan	Auto	outpatient	negotiated	$535.86
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$535.86
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$535.86
WELLSBORO	PA	Multiplan	Auto	inpatient	negotiated	$535.86
CHARLES COLE MEMORIAL HOSPITAL	PA	geisinger	Commercial	inpatient	negotiated	$525
UPMC ST MARGARET	PA	private health care systems	PPO	outpatient	negotiated	$518.4
UPMC ST MARGARET	PA	selectcare	Commercial	inpatient	negotiated	$518.4
UPMC ST MARGARET	PA	selectcare	Commercial	outpatient	negotiated	$518.4
UPMC ST MARGARET	PA	private health care systems	PPO	inpatient	negotiated	$518.4
WELLSBORO	PA	Aetna	PEBTF Custom Network	outpatient	negotiated	$514.99
WELLSBORO	PA	Aetna	PEBTF Custom Network	inpatient	negotiated	$514.99
UPMC MCKEESPORT	PA	Cigna	Commercial	outpatient	negotiated	$510
UPMC MCKEESPORT	PA	Cigna	Commercial	inpatient	negotiated	$510
UPMC NORTHWEST HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$508.3
UPMC NORTHWEST HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$508.3
UPMC HORIZON HOSPITAL	PA	health coalition partners	PPO	outpatient	negotiated	$506.1
WELLSBORO	PA	Aetna	PEBTF Custom Network	outpatient	negotiated	$503.98
WELLSBORO	PA	Aetna	PEBTF Custom Network	inpatient	negotiated	$503.98
UPMC - PRESBYTERIAN SHADYSIDE	PA	fidelis	Medicare	outpatient	negotiated	$501
UPMC - PRESBYTERIAN SHADYSIDE	PA	fidelis	Medicare	inpatient	negotiated	$501
UPMC EAST HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$496.3
UPMC EAST HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$496.3
CHARLES COLE MEMORIAL HOSPITAL	PA	upmc health plan	Commercial	outpatient	negotiated	$490
DIVINE PROVIDENCE HOSPITAL	PA	Cigna	Commercial	outpatient	negotiated	$480.87
LOCK HAVEN HOSPITAL	PA	Cigna	Commercial	outpatient	negotiated	$480.87
DIVINE PROVIDENCE HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$480.87
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Cigna	Commercial	outpatient	negotiated	$480.87
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Cigna	Commercial	inpatient	negotiated	$480.87
LOCK HAVEN HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$480.87
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$480.17
LOCK HAVEN HOSPITAL	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$480.17
LOCK HAVEN HOSPITAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$480.17
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$480.17
DIVINE PROVIDENCE HOSPITAL	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$480.17
DIVINE PROVIDENCE HOSPITAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$480.17
UPMC NORTHWEST HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$478.4
UPMC NORTHWEST HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$478.4
UPMC HORIZON HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$477.18
UPMC HORIZON HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$477.18
LOCK HAVEN HOSPITAL	PA	First Health	FH-Medical Rental	inpatient	negotiated	$472.45
LOCK HAVEN HOSPITAL	PA	First Health	FH-Medical Rental	outpatient	negotiated	$472.45
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	First Health	FH-Medical Rental	outpatient	negotiated	$472.45
DIVINE PROVIDENCE HOSPITAL	PA	First Health	FH-Medical Rental	outpatient	negotiated	$472.45
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	First Health	FH-Medical Rental	inpatient	negotiated	$472.45
DIVINE PROVIDENCE HOSPITAL	PA	First Health	FH-Medical Rental	inpatient	negotiated	$472.45
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	geisinger	Commercial	outpatient	negotiated	$470.34
DIVINE PROVIDENCE HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$470.34
LOCK HAVEN HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$470.34
WELLSBORO	PA	geisinger	Commercial	outpatient	negotiated	$470.34
UPMC HORIZON HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$469.95
UPMC HORIZON HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$469.95
UPMC PASSAVANT	PA	private health care systems	PPO	inpatient	negotiated	$469.65
UPMC PASSAVANT	PA	Humana	Commercial	inpatient	negotiated	$469.65
UPMC PASSAVANT	PA	Multiplan	PPO (Includes Workers' Comp)	inpatient	negotiated	$469.65
LOCK HAVEN HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$463.32
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Aetna	First Health	outpatient	negotiated	$463.32
LOCK HAVEN HOSPITAL	PA	Aetna	First Health	inpatient	negotiated	$463.32
DIVINE PROVIDENCE HOSPITAL	PA	Aetna	First Health	inpatient	negotiated	$463.32
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Aetna	First Health	inpatient	negotiated	$463.32
DIVINE PROVIDENCE HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$463.32
WELLSBORO	PA	geisinger	Commercial	outpatient	negotiated	$460.29
UPMC PASSAVANT	PA	intergroup	PPO	inpatient	negotiated	$454.5
UPMC ST MARGARET	PA	First Health	Commercial	outpatient	negotiated	$453.6
UPMC ST MARGARET	PA	First Health	Commercial	inpatient	negotiated	$453.6
UPMC MERCY HOSPITAL	PA	health payors organization	Commercial	inpatient	negotiated	$450
UPMC MERCY HOSPITAL	PA	health payors organization	Commercial	outpatient	negotiated	$450
UPMC MERCY HOSPITAL	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	inpatient	negotiated	$450
UPMC MERCY HOSPITAL	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	outpatient	negotiated	$450
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	inpatient	negotiated	$443.92
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	outpatient	negotiated	$443.92
UPMC HORIZON HOSPITAL	PA	Aetna	EBR FI	outpatient	negotiated	$433.8
UPMC HORIZON HOSPITAL	PA	Aetna	EBR FI	inpatient	negotiated	$433.8
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	selectcare	Commercial	inpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	selectcare	Commercial	outpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	health coalition partners	Intergroup	outpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$431.1
UPMC BEDFORD MEMORIAL HOSPITAL	PA	health coalition partners	Intergroup	inpatient	negotiated	$431.1
UPMC NORTHWEST HOSPITAL	PA	health coalition partners	PPO	outpatient	negotiated	$430.56
UPMC NORTHWEST HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$430.56
UPMC PASSAVANT	PA	Humana	Commercial	outpatient	negotiated	$429.25
UPMC PASSAVANT	PA	Multiplan	PPO (Includes Workers' Comp)	outpatient	negotiated	$429.25
UPMC PASSAVANT	PA	private health care systems	PPO	outpatient	negotiated	$429.25
UPMC SHADYSIDE	PA	intergroup	Approved National Affiliated PPO Business	outpatient	negotiated	$425
UPMC MCKEESPORT	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$425
UPMC SHADYSIDE	PA	Humana	Commercial	inpatient	negotiated	$425
UPMC SHADYSIDE	PA	health payors organization	Commercial	outpatient	negotiated	$425
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	outpatient	negotiated	$425
UPMC SHADYSIDE	PA	Humana	Commercial	outpatient	negotiated	$425
UPMC MCKEESPORT	PA	intergroup	PPO	outpatient	negotiated	$425
UPMC MCKEESPORT	PA	intergroup	PPO	inpatient	negotiated	$425
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	inpatient	negotiated	$425
UPMC SHADYSIDE	PA	intergroup	Approved National Affiliated PPO Business	inpatient	negotiated	$425

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).