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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

$13.18 – $1,201.20

Negotiated median

$128.74

CPT 99214 Office visit, established patient, 30-39 minutes · Showing 200 of 1,975 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Temple University Hospital	PA	Chargemaster	N/A	outpatient	gross	$716.00
Temple University Hospital	PA	Chargemaster	N/A	inpatient	gross	$716.00
Temple University Hospital	PA	Chargemaster	N/A	outpatient	gross	$539.00
Temple University Hospital	PA	Chargemaster	N/A	inpatient	gross	$539.00
Upmc Jameson	PA	Chargemaster	N/A	outpatient	gross	$418.00
Upmc Jameson	PA	Chargemaster	N/A	inpatient	gross	$418.00
Upmc Mckeesport	PA	Chargemaster	N/A	inpatient	gross	$404.00
Upmc Mckeesport	PA	Chargemaster	N/A	outpatient	gross	$404.00
Holy Spirit Hospital	PA	Chargemaster	N/A	both	gross	$392.00
Chestnut Hill Hospital	PA	Chargemaster	N/A	inpatient	gross	$333.00
Chestnut Hill Hospital	PA	Chargemaster	N/A	outpatient	gross	$333.00
Chestnut Hill Hospital	PA	Chargemaster	N/A	inpatient	gross	$247.00
Chestnut Hill Hospital	PA	Chargemaster	N/A	outpatient	gross	$247.00
Chestnut Hill Hospital	PA	Chargemaster	N/A	inpatient	gross	$233.00
Chestnut Hill Hospital	PA	Chargemaster	N/A	outpatient	gross	$233.00
Temple University Hospital	PA	Chargemaster	N/A	outpatient	gross	$216.00
Temple University Hospital	PA	Chargemaster	N/A	inpatient	gross	$216.00
Upmc Jameson	PA	Cash pay	N/A	outpatient	cash	$250.80
Upmc Jameson	PA	Cash pay	N/A	inpatient	cash	$250.80
Upmc Mckeesport	PA	Cash pay	N/A	inpatient	cash	$242.40
Upmc Mckeesport	PA	Cash pay	N/A	outpatient	cash	$242.40
Holy Spirit Hospital	PA	Cash pay	N/A	both	cash	$93.65
Chestnut Hill Hospital	PA	Cash pay	N/A	inpatient	cash	$83.25
Chestnut Hill Hospital	PA	Cash pay	N/A	outpatient	cash	$83.25
Chestnut Hill Hospital	PA	Cash pay	N/A	inpatient	cash	$61.75
Chestnut Hill Hospital	PA	Cash pay	N/A	outpatient	cash	$61.75
Chestnut Hill Hospital	PA	Cash pay	N/A	inpatient	cash	$58.25
Chestnut Hill Hospital	PA	Cash pay	N/A	outpatient	cash	$58.25
Upmc Jameson	PA	[De-identified Min]	—	inpatient	min	$313.50
Chestnut Hill Hospital	PA	[De-identified Min]	—	inpatient	min	$222.30
Upmc Mckeesport	PA	[De-identified Min]	—	inpatient	min	$140.19
Temple University Hospital	PA	[De-identified Min]	—	inpatient	min	$133.89
Chestnut Hill Hospital	PA	[De-identified Min]	—	outpatient	min	$130.91
Temple University Hospital	PA	[De-identified Min]	—	inpatient	min	$100.79
Chestnut Hill Hospital	PA	[De-identified Min]	—	inpatient	min	$83.25
Chestnut Hill Hospital	PA	[De-identified Min]	—	outpatient	min	$83.25
Holy Spirit Hospital	PA	[De-identified Min]	—	both	min	$62.58
Chestnut Hill Hospital	PA	[De-identified Min]	—	inpatient	min	$58.25
Chestnut Hill Hospital	PA	[De-identified Min]	—	outpatient	min	$58.25
Temple University Hospital	PA	[De-identified Min]	—	outpatient	min	$43.68
Temple University Hospital	PA	[De-identified Min]	—	inpatient	min	$40.39
Upmc Mckeesport	PA	[De-identified Min]	—	outpatient	min	$36.08
Temple University Hospital	PA	[De-identified Min]	—	outpatient	min	$32.88
Upmc Jameson	PA	[De-identified Min]	—	outpatient	min	$23.27
Temple University Hospital	PA	[De-identified Min]	—	outpatient	min	$13.18
Temple University Hospital	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,201.20
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$1,129.00
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$1,129.00
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	outpatient	negotiated	$1,129.00
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	outpatient	negotiated	$1,129.00
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$550.00
Upmc Jameson	PA	national provider network	PPO	inpatient	negotiated	$367.84
Upmc Jameson	PA	national provider network	PPO	outpatient	negotiated	$367.84
Upmc Mckeesport	PA	Humana	Commercial	inpatient	negotiated	$343.40
Upmc Mckeesport	PA	Humana	Commercial	outpatient	negotiated	$343.40
Upmc Jameson	PA	Humana	Commercial	inpatient	negotiated	$334.40
Upmc Jameson	PA	Humana	Commercial	outpatient	negotiated	$334.40
Upmc Jameson	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	outpatient	negotiated	$334.40
Upmc Mckeesport	PA	private health care systems	PPO	inpatient	negotiated	$323.20
Upmc Mckeesport	PA	private health care systems	PPO	outpatient	negotiated	$323.20
Upmc Mckeesport	PA	selectcare	Commercial	inpatient	negotiated	$323.20
Upmc Mckeesport	PA	selectcare	Commercial	outpatient	negotiated	$323.20
Upmc Jameson	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	inpatient	negotiated	$313.50
Upmc Mckeesport	PA	First Health	Commercial	inpatient	negotiated	$282.80
Upmc Mckeesport	PA	First Health	Commercial	outpatient	negotiated	$282.80
Upmc Mckeesport	PA	Cigna	Commercial	inpatient	negotiated	$242.40
Upmc Mckeesport	PA	Cigna	Commercial	outpatient	negotiated	$242.40
Temple University Hospital	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$242.01
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$219.15
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$217.41
Upmc Jameson	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$209.00
Upmc Mckeesport	PA	intergroup	PPO	inpatient	negotiated	$202.00
Upmc Mckeesport	PA	intergroup	PPO	outpatient	negotiated	$202.00
Upmc Mckeesport	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$202.00
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	inpatient	negotiated	$200.12
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	outpatient	negotiated	$196.18
Temple University Hospital	PA	geisinger	Commercial	outpatient	negotiated	$195.68
Temple University Hospital	PA	Aetna	Commercial	outpatient	negotiated	$192.60
Temple University Hospital	PA	Aetna	First Health	outpatient	negotiated	$192.60
Temple University Hospital	PA	Aetna	Workers' Comp	outpatient	negotiated	$192.60
Upmc Mckeesport	PA	upmc health plan	CHIP	outpatient	negotiated	$185.08
Upmc Jameson	PA	upmc health plan	CHIP	outpatient	negotiated	$185.08
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$182.18
Temple University Hospital	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$182.18
Temple University Hospital	PA	innovage	PACE	outpatient	negotiated	$179.00
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$178.57
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$163.63
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$162.33
Upmc Mckeesport	PA	Aetna	EBR ASO	inpatient	negotiated	$161.60
Upmc Mckeesport	PA	Aetna	EBR ASO	outpatient	negotiated	$161.60
Upmc Mckeesport	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$161.60
Upmc Mckeesport	PA	Cigna	Commercial	inpatient	negotiated	$161.60
Upmc Mckeesport	PA	Aetna	Home Depot Employer Group	outpatient	negotiated	$158.37
Upmc Mckeesport	PA	Aetna	NBR ASO/FI	inpatient	negotiated	$155.54
Upmc Mckeesport	PA	Cigna	New Business ASO	inpatient	negotiated	$155.54
Upmc Jameson	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$153.82
Upmc Mckeesport	PA	Aetna	EBR FI	inpatient	negotiated	$153.52
Upmc Mckeesport	PA	Aetna	EBR FI	outpatient	negotiated	$153.52
Upmc Mckeesport	PA	Aetna	Home Depot Employer Group	inpatient	negotiated	$152.31
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	inpatient	negotiated	$150.65
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	outpatient	negotiated	$147.69
Temple University Hospital	PA	geisinger	Commercial	outpatient	negotiated	$147.31
Upmc Mckeesport	PA	Aetna	Neighborhood Network	outpatient	negotiated	$145.44
Temple University Hospital	PA	Aetna	Commercial	outpatient	negotiated	$144.99
Temple University Hospital	PA	Aetna	First Health	outpatient	negotiated	$144.99
Temple University Hospital	PA	Aetna	Workers' Comp	outpatient	negotiated	$144.99
Upmc Mckeesport	PA	Aetna	Neighborhood Network	inpatient	negotiated	$140.19
Temple University Hospital	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$138.63
Upmc Mckeesport	PA	upmc work partners	Workers Comp	outpatient	negotiated	$135.55
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$134.75
Temple University Hospital	PA	innovage	PACE	outpatient	negotiated	$134.75
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	inpatient	negotiated	$133.89
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	outpatient	negotiated	$131.17
Upmc Jameson	PA	Cigna	Commercial	outpatient	negotiated	$128.74
Upmc Jameson	PA	upmc work partners	Workers Comp	outpatient	negotiated	$122.03
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$121.21
Upmc Jameson	PA	Aetna	Medicare	outpatient	negotiated	$110.19
Temple University Hospital	PA	gateway health plan	Medicare Advantage	outpatient	negotiated	$109.00
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$107.40
Temple University Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$107.40
Temple University Hospital	PA	Blue Cross Blue Shield	PPO	outpatient	negotiated	$107.40
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$101.00
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	inpatient	negotiated	$100.79
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	outpatient	negotiated	$98.74
Temple University Hospital	PA	Cigna	Commercial	outpatient	negotiated	$97.38
Upmc Mckeesport	PA	pa health & wellness	PA Medicaid HMO	outpatient	negotiated	$92.74
Upmc Jameson	PA	pa health & wellness	PA Medicaid HMO	outpatient	negotiated	$92.74
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$90.90
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$87.20
Upmc Jameson	PA	Cigna	Commercial	outpatient	negotiated	$86.10
Upmc Mckeesport	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$84.96
Upmc Jameson	PA	Aetna	Medicare	outpatient	negotiated	$82.64
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$80.85
Temple University Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$80.85
Temple University Hospital	PA	Blue Cross Blue Shield	PPO	outpatient	negotiated	$80.85
Upmc Mckeesport	PA	Blue Cross Blue Shield	Medicaid	outpatient	negotiated	$80.70
Temple University Hospital	PA	Cigna	Medicare DSNP/Medicare HMO/Medicare PPO	outpatient	negotiated	$78.97
Upmc Jameson	PA	geisinger	Medicaid/CHIP	outpatient	negotiated	$75.64
Temple University Hospital	PA	Cigna	Commercial	outpatient	negotiated	$73.30
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$73.01
Temple University Hospital	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$73.01
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$71.56
Upmc Jameson	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$70.75
Temple University Hospital	PA	amerihealth caritas	Transplant	outpatient	negotiated	$65.30
Upmc Mckeesport	PA	Cigna	Commercial	outpatient	negotiated	$63.91
Upmc Mckeesport	PA	Cigna	New Business ASO	outpatient	negotiated	$63.91
Upmc Mckeesport	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$63.73
Upmc Jameson	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$62.58
Upmc Jameson	PA	Aetna	Medicaid	outpatient	negotiated	$61.49
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	inpatient	negotiated	$60.37
Upmc Mckeesport	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$59.86
Upmc Mckeesport	PA	upmc health plan	Managed Medicaid	outpatient	negotiated	$59.86
Upmc Jameson	PA	upmc health plan	Managed Medicaid	outpatient	negotiated	$59.86
Temple University Hospital	PA	Cigna	Medicare DSNP/Medicare HMO/Medicare PPO	outpatient	negotiated	$59.45
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	outpatient	negotiated	$59.18
Temple University Hospital	PA	geisinger	Commercial	outpatient	negotiated	$59.03
Temple University Hospital	PA	Aetna	Commercial	outpatient	negotiated	$58.10
Temple University Hospital	PA	Aetna	First Health	outpatient	negotiated	$58.10
Temple University Hospital	PA	Aetna	Workers' Comp	outpatient	negotiated	$58.10
Temple University Hospital	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$55.56
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$54.00
Temple University Hospital	PA	innovage	PACE	outpatient	negotiated	$54.00
Temple University Hospital	PA	health partners plans	CHIP	outpatient	negotiated	$52.32
Temple University Hospital	PA	health partners plans	Medicaid	outpatient	negotiated	$52.32
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	outpatient	negotiated	$51.74
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	outpatient	negotiated	$51.74
Temple University Hospital	PA	Aetna	Coventry	outpatient	negotiated	$43.68
Temple University Hospital	PA	Aetna	Medicare Advantage	outpatient	negotiated	$43.68
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	inpatient	negotiated	$40.39
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	outpatient	negotiated	$39.57
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$36.08
Temple University Hospital	PA	Aetna	Coventry	outpatient	negotiated	$32.88
Temple University Hospital	PA	Aetna	Medicare Advantage	outpatient	negotiated	$32.88
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$32.40
Temple University Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$32.40
Temple University Hospital	PA	Blue Cross Blue Shield	PPO	outpatient	negotiated	$32.40
Temple University Hospital	PA	Cigna	Commercial	outpatient	negotiated	$29.38
Temple University Hospital	PA	Cigna	Medicare DSNP/Medicare HMO/Medicare PPO	outpatient	negotiated	$23.82
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	$23.27
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	outpatient	negotiated	$20.74
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	outpatient	negotiated	$20.74
Temple University Hospital	PA	Aetna	Coventry	outpatient	negotiated	$13.18
Temple University Hospital	PA	Aetna	Medicare Advantage	outpatient	negotiated	$13.18
Temple University Hospital	PA	[De-identified Max]	—	outpatient	max	$1,201.20
Upmc Jameson	PA	[De-identified Max]	—	outpatient	max	$367.84
Upmc Jameson	PA	[De-identified Max]	—	inpatient	max	$367.84
Upmc Mckeesport	PA	[De-identified Max]	—	inpatient	max	$343.40
Upmc Mckeesport	PA	[De-identified Max]	—	outpatient	max	$343.40
Chestnut Hill Hospital	PA	[De-identified Max]	—	inpatient	max	$326.34
Chestnut Hill Hospital	PA	[De-identified Max]	—	outpatient	max	$326.34
Holy Spirit Hospital	PA	[De-identified Max]	—	both	max	$313.60
Temple University Hospital	PA	[De-identified Max]	—	inpatient	max	$243.44
Chestnut Hill Hospital	PA	[De-identified Max]	—	inpatient	max	$242.06
Chestnut Hill Hospital	PA	[De-identified Max]	—	outpatient	max	$242.06
Chestnut Hill Hospital	PA	[De-identified Max]	—	inpatient	max	$228.34
Chestnut Hill Hospital	PA	[De-identified Max]	—	outpatient	max	$228.34
Temple University Hospital	PA	[De-identified Max]	—	outpatient	max	$188.65
Temple University Hospital	PA	[De-identified Max]	—	inpatient	max	$183.26
Temple University Hospital	PA	[De-identified Max]	—	outpatient	max	$133.09
Temple University Hospital	PA	[De-identified Max]	—	inpatient	max	$73.44

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).