Extremity study at Butler Healthcare Providers_ DBA Butler Memorial Hospital

Butler, PA

Pricing by billing methodology

Price type

How this price compares nationally

Butler Healthcare Providers_ DBA Butler Memorial Hospital’s median price of $319 is 15% above the median hospital's median price ($277), higher than 55% of the 2,576 hospitals reporting CPT 93971. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 93971 at Butler Healthcare Providers_ DBA Butler Memorial Hospital

Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medicaid traditional medicaid facility · case rate · outpatient	$99.80	$99.80	$99.80 – $99.80
2	UnitedHealthcare mcd advantage facility · case rate · outpatient	$99.80	$99.80	$99.80 – $99.80
3	Tricare tricare facility · fee schedule · outpatient	$102.30	$102.30	$102.30 – $102.30
4	UnitedHealthcare mcr advantage facility · fee schedule · outpatient	$103.33	$103.33	$102.30 – $104.35
5	Aetna mcr advantage facility · fee schedule · outpatient	$105.37	$105.37	$105.37 – $105.37
6	Humana mcr advantage facility · fee schedule · outpatient	$106.40	$106.40	$106.40 – $106.40
7	Devoted mcr advantage facility · fee schedule · outpatient	$108.44	$108.44	$108.44 – $108.44
8	Aetna auto network facility · fee schedule · outpatient	$112.53	$112.53	$112.53 – $112.53
9	Aetna mcd advantage facility · case rate · outpatient	$114.77	$114.77	$114.77 – $114.77
10	Highmark chip facility · fee schedule · outpatient	$128.53	$128.53	$128.53 – $128.53
11	Highmark chip facility · percent of total billed charges · outpatientfrom % of charges	$138.75	$138.75	$138.75 – $138.75
12	Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$138.75	$138.75	$138.75 – $138.75
13	Highmark mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$138.75	$138.75	$138.75 – $138.75
14	Highmark mcr advantage facility · fee schedule · outpatient	$170.02	$170.02	$100.26 – $239.78
15	Highmark commercial facility · fee schedule · outpatient	$211.56	$187.40	$134.85 – $215.80
16	Aetna rental network facility · fee schedule · outpatient	$207.60	$207.60	$207.60 – $207.60
17	Cigna commercial facility · fee schedule · outpatient	$233.75	$233.75	$233.75 – $233.75
18	Aetna commercial facility · fee schedule · outpatient	$235.30	$235.30	$235.30 – $235.30
19	Aetna hmo facility · fee schedule · outpatient	$235.30	$235.30	$235.30 – $235.30
20	UnitedHealthcare commercial facility · fee schedule · outpatient	$262.37	$262.37	$262.37 – $262.37
21	Devoted mcr advantage facility · percent of total billed charges · inpatientfrom % of charges	$296.80	$296.80	$296.80 – $296.80
22	Devoted mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$296.80	$296.80	$296.80 – $296.80
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$371.00	$371.00	$371.00 – $371.00
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$371.00	$371.00	$371.00 – $371.00
25	Aetna rental network facility · percent of total billed charges · outpatientfrom % of charges	$482.30	$482.30	$482.30 – $482.30

Page 1 of 2 · 28 rates

Last updated: Jan 1, 2026

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