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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

$214.2 – $3,704

Negotiated median

$281.31

CPT 99213 Office visit, established patient, 20-29 minutes · Showing 200 of 2,013 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
UPMC NORTHWEST HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$3,704
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	outpatient	negotiated	$603.5
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	inpatient	negotiated	$603.5
THE CHILDRENS HOSPITAL OF PHILADELP	PA	choice care network	All plan types	outpatient	negotiated	$587.29
UPMC - PRESBYTERIAN SHADYSIDE	PA	fidelis	Medicare	outpatient	negotiated	$532.5
UPMC - PRESBYTERIAN SHADYSIDE	PA	fidelis	Medicare	inpatient	negotiated	$532.5
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Multiplan	All plan types	outpatient	negotiated	$522.03
THE CHILDRENS HOSPITAL OF PHILADELP	PA	private health care systems	All plan types	outpatient	negotiated	$522.03
UPMC - PRESBYTERIAN SHADYSIDE	PA	Cigna	Commercial	outpatient	negotiated	$426
UPMC - PRESBYTERIAN SHADYSIDE	PA	Cigna	Commercial	inpatient	negotiated	$426
THE CHILDRENS HOSPITAL OF PHILADELP	PA	First Health	PPO	outpatient	negotiated	$424.15
WELLSBORO	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$397.1
WELLSBORO	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$397.1
WELLSBORO	PA	intergroup	PPO	outpatient	negotiated	$376.2
WELLSBORO	PA	america's choice	PPO	outpatient	negotiated	$376.2
LOCK HAVEN HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$376.2
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	three rivers provider network	All	inpatient	negotiated	$376.2
DIVINE PROVIDENCE HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$376.2
WELLSBORO	PA	america's choice	PPO	inpatient	negotiated	$376.2
WELLSBORO	PA	intergroup	PPO	inpatient	negotiated	$376.2
WELLSBORO	PA	Aetna	Commercial	outpatient	negotiated	$360.73
WELLSBORO	PA	Aetna	Commercial	inpatient	negotiated	$360.73
THE CHILDRENS HOSPITAL OF PHILADELP	PA	UnitedHealthcare	All plan types	outpatient	negotiated	$358.9
THE CHILDRENS HOSPITAL OF PHILADELP	PA	qualcare	All plan types	outpatient	negotiated	$358.9
WELLSBORO	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$355.3
WELLSBORO	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$355.3
UPMC - PRESBYTERIAN SHADYSIDE	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$355
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	intergroup	PPO	outpatient	negotiated	$334.4
DIVINE PROVIDENCE HOSPITAL	PA	america's choice	PPO	outpatient	negotiated	$334.4
LOCK HAVEN HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$334.4
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	america's choice	PPO	inpatient	negotiated	$334.4
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	america's choice	PPO	outpatient	negotiated	$334.4
LOCK HAVEN HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$334.4
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	intergroup	PPO	inpatient	negotiated	$334.4
LOCK HAVEN HOSPITAL	PA	america's choice	PPO	inpatient	negotiated	$334.4
DIVINE PROVIDENCE HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$334.4
LOCK HAVEN HOSPITAL	PA	america's choice	PPO	outpatient	negotiated	$334.4
DIVINE PROVIDENCE HOSPITAL	PA	america's choice	PPO	inpatient	negotiated	$334.4
DIVINE PROVIDENCE HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$334.4
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Blue Cross Blue Shield	All plan types	outpatient	negotiated	$326.27
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Cigna	PPO	outpatient	negotiated	$326.27
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Aetna	All plan types	outpatient	negotiated	$326.27
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Cigna	HMO	outpatient	negotiated	$326.27
WELLSBORO	PA	Multiplan	Auto	inpatient	negotiated	$326.04
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$326.04
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$326.04
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$326.04
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	Auto	outpatient	negotiated	$326.04
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$326.04
LOCK HAVEN HOSPITAL	PA	Multiplan	Auto	outpatient	negotiated	$326.04
LOCK HAVEN HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$326.04
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$326.04
LOCK HAVEN HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$326.04
WELLSBORO	PA	Multiplan	Auto	outpatient	negotiated	$326.04
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$326.04
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	Auto	outpatient	negotiated	$326.04
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$326.04
LOCK HAVEN HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$326.04
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	Auto	inpatient	negotiated	$326.04
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	inpatient	negotiated	$321.78
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	outpatient	negotiated	$321.78
UPMC JAMESON	PA	national provider network	PPO	outpatient	negotiated	$316.8
UPMC JAMESON	PA	national provider network	PPO	inpatient	negotiated	$316.8
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	outpatient	negotiated	$310
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	inpatient	negotiated	$310
THE CHILDRENS HOSPITAL OF PHILADELP	PA	jefferson health plans	All plan types	outpatient	negotiated	$308.65
UPMC MAGEE-WOMENS HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$307.2
UPMC MAGEE-WOMENS HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$307.2
ALTOONA REGIONAL HEALTH SYSTEM	PA	private health care systems	PPO	inpatient	negotiated	$307.2
THE CHILDRENS HOME OF PITTSBURGH	PA	private health care systems	PPO	outpatient	negotiated	$307.2
THE CHILDRENS HOME OF PITTSBURGH	PA	private health care systems	PPO	inpatient	negotiated	$307.2
UPMC CHILDRENS HOSPITAL OF PGH	PA	private health care systems	PPO	inpatient	negotiated	$307.2
ALTOONA REGIONAL HEALTH SYSTEM	PA	private health care systems	PPO	outpatient	negotiated	$307.2
UPMC CHILDRENS HOSPITAL OF PGH	PA	private health care systems	PPO	outpatient	negotiated	$307.2
WELLSBORO	PA	Aetna	PEBTF Custom Network	inpatient	negotiated	$306.64
WELLSBORO	PA	Aetna	PEBTF Custom Network	outpatient	negotiated	$306.64
UPMC HORIZON HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$306
UPMC HORIZON HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$306
UPMC SHADYSIDE	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$302.38
UPMC HORIZON HOSPITAL	PA	prime net	Commercial	inpatient	negotiated	$295.2
UPMC HORIZON HOSPITAL	PA	prime net	Commercial	outpatient	negotiated	$295.2
UPMC HORIZON HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$288
UPMC HORIZON HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$288
UPMC JAMESON	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	outpatient	negotiated	$288
UPMC JAMESON	PA	Humana	Commercial	outpatient	negotiated	$288
UPMC JAMESON	PA	Humana	Commercial	inpatient	negotiated	$288
THE CHILDRENS HOSPITAL OF PHILADELP	PA	geisinger health plan commercial	All plan types	outpatient	negotiated	$287.12
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Cigna	Commercial	outpatient	negotiated	$286.33
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Cigna	Commercial	inpatient	negotiated	$286.33
LOCK HAVEN HOSPITAL	PA	Cigna	Commercial	outpatient	negotiated	$286.33
LOCK HAVEN HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$286.33
DIVINE PROVIDENCE HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$286.33
DIVINE PROVIDENCE HOSPITAL	PA	Cigna	Commercial	outpatient	negotiated	$286.33
LOCK HAVEN HOSPITAL	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$285.91
LOCK HAVEN HOSPITAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$285.91
DIVINE PROVIDENCE HOSPITAL	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$285.91
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$285.91
DIVINE PROVIDENCE HOSPITAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$285.91
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$285.91
DIVINE PROVIDENCE HOSPITAL	PA	First Health	FH-Medical Rental	inpatient	negotiated	$281.31
LOCK HAVEN HOSPITAL	PA	First Health	FH-Medical Rental	inpatient	negotiated	$281.31
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	First Health	FH-Medical Rental	inpatient	negotiated	$281.31
LOCK HAVEN HOSPITAL	PA	First Health	FH-Medical Rental	outpatient	negotiated	$281.31
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	First Health	FH-Medical Rental	outpatient	negotiated	$281.31
DIVINE PROVIDENCE HOSPITAL	PA	First Health	FH-Medical Rental	outpatient	negotiated	$281.31
WELLSBORO	PA	geisinger	Commercial	outpatient	negotiated	$280.06
LOCK HAVEN HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$280.06
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	geisinger	Commercial	outpatient	negotiated	$280.06
DIVINE PROVIDENCE HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$280.06
UPMC PASSAVANT	PA	Multiplan	PPO (Includes Workers' Comp)	inpatient	negotiated	$278.07
UPMC PASSAVANT	PA	Humana	Commercial	inpatient	negotiated	$278.07
UPMC PASSAVANT	PA	private health care systems	PPO	inpatient	negotiated	$278.07
UPMC EAST HOSPITAL	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$278.02
UPMC ST MARGARET	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$278.02
DIVINE PROVIDENCE HOSPITAL	PA	Aetna	First Health	inpatient	negotiated	$275.88
LOCK HAVEN HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$275.88
DIVINE PROVIDENCE HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$275.88
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Aetna	First Health	outpatient	negotiated	$275.88
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Aetna	First Health	inpatient	negotiated	$275.88
LOCK HAVEN HOSPITAL	PA	Aetna	First Health	inpatient	negotiated	$275.88
UPMC JAMESON	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	inpatient	negotiated	$270
UPMC PASSAVANT	PA	intergroup	PPO	inpatient	negotiated	$269.1
UPMC PASSAVANT	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$265.14
UPMC NORTHWEST HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$264.35
UPMC NORTHWEST HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$264.35
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Blue Cross Blue Shield	PPO	outpatient	negotiated	$261.41
THE CHILDRENS HOSPITAL OF PHILADELP	PA	geisinger medical assistance	All plan types	outpatient	negotiated	$261.02
UPMC ST MARGARET	PA	Humana	Commercial	outpatient	negotiated	$260.1
UPMC ST MARGARET	PA	Humana	Commercial	inpatient	negotiated	$260.1
UPMC MCKEESPORT	PA	Humana	Commercial	outpatient	negotiated	$260.1
UPMC MCKEESPORT	PA	Humana	Commercial	inpatient	negotiated	$260.1
UPMC PASSAVANT	PA	Humana	Commercial	outpatient	negotiated	$254.15
UPMC PASSAVANT	PA	Multiplan	PPO (Includes Workers' Comp)	outpatient	negotiated	$254.15
UPMC PASSAVANT	PA	private health care systems	PPO	outpatient	negotiated	$254.15
UPMC HORIZON HOSPITAL	PA	health coalition partners	PPO	outpatient	negotiated	$252
CHARLES COLE MEMORIAL HOSPITAL	PA	Aetna	Commercial	outpatient	negotiated	$250.1
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	outpatient	negotiated	$249.05
UPMC - PRESBYTERIAN SHADYSIDE	PA	health payors organization	Commercial	inpatient	negotiated	$249.05
UPMC EAST HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$248.8
UPMC EAST HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$248.8
UPMC NORTHWEST HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$248.8
UPMC NORTHWEST HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$248.8
UPMC - PRESBYTERIAN SHADYSIDE	PA	Aetna	Commercial	outpatient	negotiated	$248.5
UPMC PASSAVANT	PA	intergroup	PPO	outpatient	negotiated	$248.17
UPMC ST MARGARET	PA	private health care systems	PPO	inpatient	negotiated	$244.8
UPMC ST MARGARET	PA	selectcare	Commercial	inpatient	negotiated	$244.8
UPMC MCKEESPORT	PA	selectcare	Commercial	outpatient	negotiated	$244.8
UPMC MCKEESPORT	PA	selectcare	Commercial	inpatient	negotiated	$244.8
UPMC MCKEESPORT	PA	private health care systems	PPO	outpatient	negotiated	$244.8
UPMC MCKEESPORT	PA	private health care systems	PPO	inpatient	negotiated	$244.8
UPMC ST MARGARET	PA	selectcare	Commercial	outpatient	negotiated	$244.8
UPMC ST MARGARET	PA	private health care systems	PPO	outpatient	negotiated	$244.8
CHARLES COLE MEMORIAL HOSPITAL	PA	galaxy health plan	Commercial	inpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	galaxy health plan	Commercial	outpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	PPO/Auto	inpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	PPO/Auto	outpatient	negotiated	$244
CHARLES COLE MEMORIAL HOSPITAL	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$244
UPMC HORIZON HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$237.6
UPMC HORIZON HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$237.6
UPMC - PRESBYTERIAN SHADYSIDE	PA	Aetna	Fully Insured	outpatient	negotiated	$234.3
UPMC HORIZON HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$234
UPMC HORIZON HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$234
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	wirerope works	Commercial	inpatient	negotiated	$232.41
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	wirerope works	Commercial	outpatient	negotiated	$232.41
DIVINE PROVIDENCE HOSPITAL	PA	wirerope works	Commercial	outpatient	negotiated	$232.41
WELLSBORO	PA	wirerope works	Commercial	inpatient	negotiated	$232.41
LOCK HAVEN HOSPITAL	PA	wirerope works	Commercial	inpatient	negotiated	$232.41
DIVINE PROVIDENCE HOSPITAL	PA	wirerope works	Commercial	inpatient	negotiated	$232.41
LOCK HAVEN HOSPITAL	PA	wirerope works	Commercial	outpatient	negotiated	$232.41
WELLSBORO	PA	wirerope works	Commercial	outpatient	negotiated	$232.41
THE CHILDRENS HOSPITAL OF PHILADELP	PA	Blue Cross Blue Shield	All plan types	outpatient	negotiated	$230.35
CHARLES COLE MEMORIAL HOSPITAL	PA	geisinger	Commercial	inpatient	negotiated	$228.75
WELLSBORO	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$228
WELLSBORO	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$228
UPMC NORTHWEST HOSPITAL	PA	health coalition partners	PPO	outpatient	negotiated	$223.92
UPMC NORTHWEST HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$223.92
LOCK HAVEN HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$221.12
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	First Health	Commercial	inpatient	negotiated	$221.12
DIVINE PROVIDENCE HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$221.12
UPMC - PRESBYTERIAN SHADYSIDE	PA	fidelis	Medicare	inpatient	negotiated	$219.75
UPMC - PRESBYTERIAN SHADYSIDE	PA	fidelis	Medicare	outpatient	negotiated	$219.75
UPMC EAST HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$217.7
UPMC NORTHWEST HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$217.7
UPMC NORTHWEST HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$217.7
UPMC EAST HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$217.7
UPMC HORIZON HOSPITAL	PA	Aetna	EBR FI	inpatient	negotiated	$216
WELLSBORO	PA	america's choice	PPO	outpatient	negotiated	$216
WELLSBORO	PA	america's choice	PPO	inpatient	negotiated	$216
WELLSBORO	PA	intergroup	PPO	outpatient	negotiated	$216
WELLSBORO	PA	intergroup	PPO	inpatient	negotiated	$216
UPMC HORIZON HOSPITAL	PA	Aetna	EBR FI	outpatient	negotiated	$216
UPMC ST MARGARET	PA	First Health	Commercial	outpatient	negotiated	$214.2
UPMC ST MARGARET	PA	First Health	Commercial	inpatient	negotiated	$214.2
UPMC MCKEESPORT	PA	First Health	Commercial	outpatient	negotiated	$214.2

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).