Initial hospital care, low complexity in Pennsylvania
What Pennsylvania hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.
Hospitals
14
Rate rows
168
Neg. median
$106
Min
$44.73
Max
$415.1
Cash median
$78
Across 14 Pennsylvania hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $44.73 to $415.1, with a median of $106. The interquartile range is $80.4 to $164. Cash-pay patients typically pay $78; gross charges median $236.
By payer in Pennsylvania
Top 21 payers for Initial hospital care, low complexity in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 3 | 12 | $184.65 |
| Aetna | 3 | 12 | $171.65 |
| ibc | 2 | 7 | $85.4 |
| UnitedHealthcare | 2 | 6 | $92.08 |
| upmc health plan | 2 | 7 | $106 |
| Humana | 1 | 3 | $164 |
| intergroup | 1 | 2 | $164 |
| intergroup service corp | 1 | 2 | $128.25 |
| jup geisinger commercial | 1 | 3 | $167.05 |
| jup health partners chip | 1 | 4 | $70.27 |
| jup pa health_wellness | 1 | 1 | $84.57 |
| Medicaid | 1 | 6 | $73.52 |
| Medicare | 1 | 3 | $93.03 |
| Multiplan | 1 | 4 | $164 |
| pa health & wellness | 1 | 3 | $61.99 |
| abington pro ibc | 1 | 5 | $104.18 |
| upmc work partners | 1 | 1 | $151.43 |
| amerihealth caritas | 1 | 3 | $58.84 |
| Cigna | 1 | 1 | $60.27 |
| galaxy health plan | 1 | 2 | $164 |
| geisinger | 1 | 3 | $153.75 |
Hospital comparison — Initial hospital care, low complexity in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Thomas Jefferson Univ. Hospital | Philadelphia | $85.4 | — | — |
| Aria Health | Philadelphia | $96.01 | $88.84 | $175 |
| Curahealth Heritage Valley | Beaver | $105.39 | $46.17 | $171 |
| Charles Cole Memorial Hospital | Coudersport | $153.75 | $123 | $205 |
| Windber Hospital Inc. | Windber | — | $133.45 | $157 |
| Pottstown Memorial Medical Center | Pottstown | — | $78 | $312 |
| Phoenixville Hospital | Phoenixville | — | $78 | $312 |
| Butler Memorial Hospital | Butler | — | — | — |
| Physicians Care Surgical Hospital | Royersford | — | — | $50 |
| Holy Spirit Hospital | Camp Hill | — | $56.38 | $236 |
| Haven Behavioral Svcs Of Reading Llc | Reading | — | — | $205 |
| Chestnut Hill Hospital | Philadelphia | — | $78 | $312 |
| Reading Hospital And Medical Center | Reading | — | $218.4 | $312 |
| Clarion Hospital | Clarion | — | — | — |