DISCONTINUED USE 16MM

Highmark pricing summary

Low

$46

Average

$254

Median

$132

High

$7.6k

Highmark rate distribution

Filter by billing methodology

Filter by billing class

119 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$47	$46	$1	2%	—	$44 – $47
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	11	$47	$46	$1	2%	—	$44 – $47
3	Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges	1	$386	$434	$161	37%	—	$266 – $650
4	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
5	Armstrong County Memorial Hospital Kittanning, PA facility · other · outpatient	4	$287	$257	$64	25%	—	$147 – $309
6	Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges	1	$468	$468	—	—	—	$468 – $468
7	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	2	$119	$119	$8	7%	—	$111 – $127
8	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	1	$86	$86	$49	56%	—	$38 – $135
9	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$47	$46	$1	2%	—	$44 – $47
10	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	11	$47	$46	$1	2%	—	$44 – $47
11	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient	1	$132	$132	—	—	—	$132 – $132
12	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	4	$410	$340	$120	35%	—	$131 – $410
13	City Hospital, Inc. Martinsburg, WV facility · other · outpatient	2	$131	$131	$1	0%	—	$130 – $132
14	Davis Medical Center Elkins, WV facility · case rate · outpatient	1	$118	$118	—	—	—	$118 – $118
15	Davis Medical Center Elkins, WV professional · fee schedule · both	2	$121	$121	$5	4%	—	$116 – $127
16	Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges	1	$218	$201	$134	67%	—	$30 – $356
17	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$261	$261	—	—	—	$261 – $261
18	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	7	$536	$1.2k	$983	82%	—	$479 – $3.4k
19	F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
20	Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient	2	$117	$117	$11	9%	—	$107 – $128
21	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$47	$46	$1	2%	—	$44 – $47
22	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	11	$47	$46	$1	2%	—	$44 – $47
23	Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient	1	$117	$117	—	—	—	$117 – $117
24	Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges	4	$7.9k	$7.6k	$4.2k	55%	—	$1.3k – $14.7k
25	HERITAGE VALLEY BEAVER BEAVER, PA fee schedule · both	9	$129	$151	$47	31%	—	$106 – $234

Page 1 of 5

← Payers reporting HCPCS Q4132 · Snapshot 20261111T120946Z-9134e7f7

HCPCS Q4132

DISCONTINUED USE 16MM

Highmark pricing summary

Low

$46

Average

$254

Median

$132

High

$7.6k

Highmark rate distribution

Filter by billing methodology

Filter by billing class

119 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$47	$46	$1	2%	—	$44 – $47
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	11	$47	$46	$1	2%	—	$44 – $47
3	Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges	1	$386	$434	$161	37%	—	$266 – $650
4	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
5	Armstrong County Memorial Hospital Kittanning, PA facility · other · outpatient	4	$287	$257	$64	25%	—	$147 – $309
6	Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges	1	$468	$468	—	—	—	$468 – $468
7	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	2	$119	$119	$8	7%	—	$111 – $127
8	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	1	$86	$86	$49	56%	—	$38 – $135
9	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$47	$46	$1	2%	—	$44 – $47
10	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	11	$47	$46	$1	2%	—	$44 – $47
11	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient	1	$132	$132	—	—	—	$132 – $132
12	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	4	$410	$340	$120	35%	—	$131 – $410
13	City Hospital, Inc. Martinsburg, WV facility · other · outpatient	2	$131	$131	$1	0%	—	$130 – $132
14	Davis Medical Center Elkins, WV facility · case rate · outpatient	1	$118	$118	—	—	—	$118 – $118
15	Davis Medical Center Elkins, WV professional · fee schedule · both	2	$121	$121	$5	4%	—	$116 – $127
16	Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges	1	$218	$201	$134	67%	—	$30 – $356
17	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$261	$261	—	—	—	$261 – $261
18	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	7	$536	$1.2k	$983	82%	—	$479 – $3.4k
19	F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
20	Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient	2	$117	$117	$11	9%	—	$107 – $128
21	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$47	$46	$1	2%	—	$44 – $47
22	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	11	$47	$46	$1	2%	—	$44 – $47
23	Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient	1	$117	$117	—	—	—	$117 – $117
24	Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges	4	$7.9k	$7.6k	$4.2k	55%	—	$1.3k – $14.7k
25	HERITAGE VALLEY BEAVER BEAVER, PA fee schedule · both	9	$129	$151	$47	31%	—	$106 – $234

Page 1 of 5

← Payers reporting HCPCS Q4132 · Snapshot 20261111T120946Z-9134e7f7