ED visit level 1 in Pennsylvania
What Pennsylvania hospitals charge for ed visit level 1 (CPT 99281). Rates sourced from federally-mandated machine-readable files.
Hospitals
55
Rate rows
1,543
Neg. median
$170.13
Min
$14.4
Max
$3,704
Cash median
$186.85
Across 55 Pennsylvania hospitals, the negotiated rate for ED visit level 1 ranges from $14.4 to $3,704, with a median of $170.13. The interquartile range is $87.91 to $297.96. Cash-pay patients typically pay $186.85; gross charges median $398.
By payer in Pennsylvania
Top 30 payers for ED visit level 1 in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 26 | 178 | $165.36 |
| Blue Cross Blue Shield | 25 | 154 | $142.49 |
| upmc health plan | 24 | 77 | $98.9 |
| Cigna | 24 | 87 | $173.6 |
| UnitedHealthcare | 23 | 83 | $96 |
| upmc work partners | 21 | 21 | $51.6 |
| pa health & wellness | 21 | 48 | $90.67 |
| amerihealth caritas | 20 | 24 | $86.47 |
| geisinger | 18 | 32 | $218.08 |
| intergroup | 15 | 50 | $336.8 |
| private health care systems | 13 | 26 | $347.2 |
| First Health | 13 | 34 | $251.3 |
| Humana | 11 | 25 | $204 |
| Multiplan | 11 | 66 | $328.38 |
| preferred healthcare system | 6 | 12 | $312 |
| wirerope works | 5 | 16 | $234.08 |
| america's choice | 5 | 16 | $336.8 |
| health partners plans (jefferson health plan) | 4 | 4 | $31.67 |
| health coalition partners | 4 | 6 | $323.1 |
| selectcare | 4 | 8 | $335.15 |
| three rivers provider network | 4 | 8 | $217.05 |
| occunet | 3 | 3 | $132.94 |
| gateway health plan | 3 | 4 | $95.58 |
| pa health_wellness chc | 2 | 4 | $24.05 |
| clover health | 2 | 2 | $93.95 |
| elder health | 2 | 2 | $106.36 |
| fidelis | 2 | 3 | $385.5 |
| health partners plans | 2 | 6 | $50 |
| health payors organization | 2 | 4 | $443.45 |
| ibc | 2 | 4 | $1,142.5 |
Hospital comparison — ED visit level 1 in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Aria Health | Philadelphia | $28.81 | $95.16 | $1,573 |
| Charles Cole Memorial Hospital | Coudersport | $66.4 | $93 | $155 |
| Upmc Jameson | New Castle | $84.48 | $57.6 | $96 |
| Curahealth Heritage Valley | Beaver | $91.95 | $128.25 | $475 |
| Upmc Horizon Hospital | Greenville | $96 | $144 | $240 |
| Upmc Passavant | Pittsburgh | $122.4 | $183.6 | $306 |
| Jeanes Hospital | Philadelphia | $124.93 | — | $1,590 |
| Temple University Hospital | Philadelphia | $132.94 | — | $1,590 |
| Upmc St Margaret | Pittsburgh | $151.24 | $238.8 | $398 |
| Upmc East Hospital | Monroeville | $169.26 | $260.4 | $434 |
| Upmc Mckeesport | Mckeesport | $173.6 | $260.4 | $434 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | $176.68 | $374.4 | $624 |
| The Childrens Home Of Pittsburgh | Pittsburgh | $176.68 | $374.4 | $624 |
| Altoona Regional Health System | Altoona | $176.68 | $374.4 | $624 |
| Upmc Magee-Womens Hospital | Pittsburgh | $176.68 | $374.4 | $624 |
| Upmc Mercy Hospital | Pittsburgh | $200 | $300 | $500 |
| Upmc Northwest Hospital | Seneca | $205.9 | $213 | $355 |
| Upmc Hamot | Erie | $220 | $384.6 | $641 |
| Upmc Bedford Memorial Hospital | Everett | $222.58 | $215.4 | $359 |
| Divine Providence Hospital | Williamsport | $227.13 | $252.6 | $421 |
| Williamsport Hospital & Medical Ctr | Williamsport | $227.13 | $252.6 | $421 |
| Lock Haven Hospital | Lock Haven | $227.13 | $252.6 | $421 |
| Wellsboro | Wellsboro | $234.08 | $279.1 | $401.5 |
| Muncy Valley Hospital | Muncy | $277.86 | $252.6 | $421 |
| Upmc Shadyside | Pittsburgh | $359.8 | $308.4 | $514 |
| Thomas Jefferson Univ. Hospital | Philadelphia | $1,308 | $99.62 | $1,573 |
| Phoenixville Hospital | Phoenixville | — | $65.88 | $263.5 |
| Miners Hospital | Hastings | — | $69.6 | $174 |
| Westmoreland Regional Hospital | Greensburg | — | $184.2 | $307 |
| Armstrong County Memorial | Kittanning | — | $109.8 | $366 |
| Butler Memorial Hospital | Butler | — | $140 | $200 |
| St. Joseph Medical Center | Reading | — | $148.78 | $572 |
| The Chester County Hospital | West Chester | — | $642 | $642 |
| Doylestown Hospital | Doylestown | — | $1,126 | $1,126 |
| Frick Hospital | Mount Pleasant | — | $184.2 | $307 |
| Latrobe Area Hospital | Latrobe | — | $184.2 | $307 |
| Presbyterian Medical Center | Philadelphia | — | $642 | $642 |
| Pennsylvania Hospital Of Uphs | Philadelphia | — | $1,314 | $1,314 |
| Milton S. Hershey Medical Center | Hershey | — | $189.5 | $572 |
| Physicians Care Surgical Hospital | Royersford | — | $27.63 | $225.93 |
| Clarion Hospital | Clarion | — | $112 | $200 |
| Hampden Medical Center | Enola | — | $180.01 | $572 |
| Meyersdale Community Hospital | Meyersdale | — | $74 | $185 |
| Miners Hospital | Hastings | — | $69.6 | $174 |
| Reading Hospital And Medical Center | Reading | — | $184.45 | $263.5 |
| Lifecare Hospitals Of Chester County | West Chester | — | $642 | $642 |
| Penn State Hershey Rehabilitation Ll | Hummelstown | — | $148.78 | $572 |
| Uniontown Hospital | Uniontown | — | $172.75 | $345.5 |
| Chestnut Hill Hospital | Philadelphia | — | $65.88 | $263.5 |
| St Christophers Hospital For Childr | Philadelphia | — | $323.5 | $647 |
| Windber Hospital Inc. | Windber | — | $32.3 | $38 |
| Holy Spirit Hospital | Camp Hill | — | $136.65 | $572 |
| Hospital Of The Univ Of Penna | Philadelphia | — | $1,314 | $1,314 |
| Pottstown Memorial Medical Center | Pottstown | — | $65.88 | $263.5 |
| Wayne Memorial Hospital | Honesdale | — | $46.9 | $67 |