Initial hospital care, high complexity in Pennsylvania
What Pennsylvania hospitals charge for initial hospital care, high complexity (CPT 99223). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
172
Neg. median
$211.81
Min
$100.66
Max
$867.37
Cash median
$155.25
Across 15 Pennsylvania hospitals, the negotiated rate for Initial hospital care, high complexity ranges from $100.66 to $867.37, with a median of $211.81. The interquartile range is $174.79 to $385.87. Cash-pay patients typically pay $155.25; gross charges median $579.
By payer in Pennsylvania
Top 21 payers for Initial hospital care, high complexity in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 3 | 12 | $368.08 |
| Aetna | 3 | 12 | $323.57 |
| ibc | 2 | 7 | $177.86 |
| UnitedHealthcare | 2 | 6 | $184.57 |
| upmc health plan | 2 | 6 | $188.8 |
| Humana | 1 | 3 | $463.2 |
| intergroup | 1 | 2 | $463.2 |
| intergroup service corp | 1 | 2 | $262.5 |
| jup geisinger commercial | 1 | 3 | $330.79 |
| jup health partners chip | 1 | 4 | $145.16 |
| jup pa health_wellness | 1 | 1 | $176.7 |
| Medicaid | 1 | 6 | $151.95 |
| Medicare | 1 | 3 | $184.22 |
| Multiplan | 1 | 4 | $463.2 |
| pa health & wellness | 1 | 3 | $175.09 |
| abington pro ibc | 1 | 6 | $196.45 |
| upmc work partners | 1 | 1 | $300.76 |
| amerihealth caritas | 1 | 3 | $166.17 |
| Cigna | 1 | 1 | $170.23 |
| galaxy health plan | 1 | 2 | $463.2 |
| geisinger | 1 | 3 | $434.25 |
Hospital comparison — Initial hospital care, high 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 | $177.86 | — | — |
| Aria Health | Philadelphia | $187.27 | $185.68 | $360 |
| Curahealth Heritage Valley | Beaver | $202.46 | $94.5 | $350 |
| Charles Cole Memorial Hospital | Coudersport | $405.3 | $347.4 | $579 |
| Windber Hospital Inc. | Windber | — | $264.35 | $311 |
| Pottstown Memorial Medical Center | Pottstown | — | $155.25 | $621 |
| Phoenixville Hospital | Phoenixville | — | $155.25 | $621 |
| Butler Memorial Hospital | Butler | — | — | — |
| Physicians Care Surgical Hospital | Royersford | — | — | $50 |
| Pennsylvania Psychiatric Institute | Harrisburg | — | $84.6 | $493 |
| Holy Spirit Hospital | Camp Hill | — | $117.78 | $493 |
| Haven Behavioral Svcs Of Reading Llc | Reading | — | — | $400 |
| Chestnut Hill Hospital | Philadelphia | — | $155.25 | $621 |
| Reading Hospital And Medical Center | Reading | — | $434.7 | $621 |
| Clarion Hospital | Clarion | — | — | — |