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Critical Care, First 30-74 Minutes Cost in Pennsylvania
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 69 Pennsylvania hospitals. CPT 99291. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $939
📉 Low $108
📈 High $7,909
🏥 69 hospitals
🏛️ 53 with insurance contracts
🇺🇸 Medicare $308
Hospital comparison — Pennsylvania
Sorted by cash price (lowest first). Showing top 60 of 69 hospitals.
Billed more than $939 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Medicare | Humana | Medicaid | BCBS | Molina |
|---|---|---|---|---|---|---|---|---|---|
| AHN SAINT VINCENT HOSPITAL ERIE |
$108 | $220 | $953 | $339 | $212 | $972 | — | $963 | $999 |
| AHN JEFFERSON HOSPITAL JEFFERSON HILLS |
$114 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| AHN CANONSBURG GENERAL HOSPITAL CANONSBURG |
$132 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| AHN FORBES HOSPITAL MONROEVILLE |
$132 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| AHN GROVE CITY MEDICAL CENTER GROVE CITY |
$138 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| AHN ALLEGHENY VALLEY HOSPITAL NATRONA HEIGHTS |
$138 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| AHN ALLEGHENY GENERAL HOSPITAL PITTSBURGH |
$144 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| AHN WEXFORD HOSPITAL WEXFORD |
$156 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| WARREN GENERAL HOSPITAL CRESCENT PARK WEST WARREN |
$157 | $100 | $63.00 | $60.00 | — | $101 | — | $100 | — |
| WEST PENN HOSPITAL PITTSBURGH |
$162 | $220 | $843 | $339 | $212 | $859 | — | — | $884 |
| WAYNE MEMORIAL HOSPITAL PARK ST. HONESDALE |
$437 | $70.00 | $75.00 | $70.00 | — | $100 | — | $40.00 | — |
| MERCY FITZGERALD HOSPITAL DARBY |
$450 | — | — | — | — | — | — | — | — |
| ST MARY MEDICAL CENTER LANGHORNE |
$450 | — | — | — | — | — | — | — | — |
| NAZARETH HOSPITAL PHILADELPHIA |
$450 | — | — | — | — | — | — | — | — |
| FULTON COUNTY MEDICAL CENTER PEACH ORCHARD RD. MC CONNELLSBURG |
$502 | $90.00 | $46.00 | $30.80 | $100 | $263 | — | $40.00 | — |
| CONEMAUGH NASON MEDICAL CENTER ROARING SPRING |
$531 | $100 | $43.90 | $41.20 | $100 | $100 | — | $100 | — |
| BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA |
$539 | $42.91 | $40.00 | $53.53 | $40.00 | $30.86 | $8.82 | — | — |
| HERITAGE VALLEY SEWICKLEY MCKEES ROCKS |
$558 | $197 | $152 | $643 | — | — | — | — | — |
| HERITAGE VALLEY BEAVER BEAVER |
$558 | $212 | $152 | $643 | — | — | — | — | — |
| CONEMAUGH MEYERSDALE MEDICAL CENTER HOSPITAL DRIVE MEYERSDALE |
$607 | $38.00 | $39.52 | $61.60 | — | — | — | $1,578 | — |
| BUCKTAIL MEDICAL CENTER RENOVO |
$625 | — | $225 | $245 | $220 | $223 | — | $541 | — |
| CONEMAUGH MINERS MEDICAL CENTER HAIDA AVENUE HASTINGS |
$778 | $20.00 | $20.80 | $61.60 | — | — | — | $20.30 | — |
| WESTMORELAND HOSPITAL GREEENSBURG |
$800 | — | — | — | — | — | — | — | — |
| LATROBE HOSPITAL LATROBE |
$800 | — | — | — | — | — | — | — | — |
| FRICK HOSPITAL MT PLESANT |
$800 | — | — | — | — | — | — | — | — |
| GUTHRIE TROY COMMUNITY HOSPITAL TROY |
$801 | — | — | — | — | — | — | — | — |
| LOWER BUCKS HOSPITAL BRISTOL |
$812 | $515 | — | $1,964 | $813 | $650 | — | $666 | — |
| GUTHRIE ROBERT PACKER HOSPITAL SAYRE |
$841 | — | — | — | — | — | — | — | — |
| GUTHRIE ROBERT PACKER HOSPITAL, TOWANDA CAMPUS TOWANDA |
$841 | — | — | — | — | — | — | — | — |
| SUBURBAN COMMUNITY HOSPITAL NORRISTOWN |
$844 | $515 | — | $1,997 | $844 | $676 | — | $666 | — |
| HOLY REDEEMER HOSPITAL MEADOWBROOK |
$931 | $236 | $884 | $884 | — | — | — | $714 | — |
| JEFFERSON ABINGTON HOSPITAL ABINGTON |
$932 | $166 | $226 | $3,005 | $180 | — | $152 | — | — |
| JEFFERSON BUCKS HOSPITAL LANGHORNE |
$939 | $2,622 | $261 | $3,005 | — | — | $205 | — | — |
| CLARION HOSPITAL CLARION |
$952 | $811 | $835 | $811 | $811 | — | $152 | — | — |
| JEFFERSON LANSDALE HOSPITAL LANSDALE |
$952 | $2,622 | $261 | $3,005 | — | — | $205 | — | — |
| JEFFERSON TORRESDALE HOSPITAL PHILADELPHIA |
$976 | $2,622 | $261 | $3,005 | — | — | $205 | — | — |
| JEFFERSON METHODIST HOSPITAL PHILADELPHIA |
$976 | $3,193 | $287 | $4,293 | — | — | $205 | — | — |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL PHILADELPHIA |
$976 | $3,193 | $287 | $4,293 | — | — | $205 | — | — |
| JEFFERSON FRANKFORD HOSPITAL PHILADELPHIA |
$976 | $2,622 | $261 | $3,005 | — | — | $205 | — | — |
| MAGEE REHABILITATION HOSPITAL PHILADELPHIA |
$992 | — | $200 | — | — | — | $271 | — | — |
| PENN HIGHLANDS MON VALLEY HOSPITAL COUNTRY CLUB RD. MONONGAHELA |
$1,078 | $207 | $164 | — | $201 | $207 | $152 | $189 | — |
| UNIONTOWN HOSPITAL UNIONTOWN |
$1,144 | $801 | $60.00 | $90.00 | $801 | $841 | — | $1,471 | — |
| INDIANA REGIONAL MEDICAL CENTER INDIANA |
$1,157 | — | — | — | — | — | — | — | — |
| BUTLER MEMORIAL HOSPITAL BUTLER |
$1,190 | $152 | $174 | $1,852 | $811 | $843 | $152 | — | — |
| SURGICAL INSTITUTE OF READING WYOMISSING |
$1,192 | $3,065 | — | — | — | — | — | — | — |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER CAMP HILL |
$1,308 | — | — | — | — | — | — | — | — |
| CONEMAUGH MEMORIAL HOSPITAL JOHNSTOWN |
$1,409 | $59.80 | $55.40 | $60.00 | — | — | — | $198 | — |
| PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER BERNVILLE ROAD READING |
$1,425 | — | — | — | — | — | — | — | — |
| PENN STATE HEALTH LANCASTER MEDICAL CENTER STATE ROAD LANCASTER |
$1,588 | — | — | — | — | — | — | — | — |
| MOUNT NITTANY MEDICAL CENTER STATE COLLEGE |
$1,686 | $1,003 | $983 | $983 | — | $1,003 | — | $1,022 | — |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER ENOLA |
$1,724 | — | — | — | — | — | — | — | — |
| UPMC WELLSBORO WELLSBORO |
$2,172 | — | — | — | — | — | — | — | — |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL LEWISBURG |
$2,184 | $811 | $811 | — | $811 | $811 | $167 | — | — |
| WELLSPAN GOOD SAMARITAN HOSPITAL LEBANON |
$2,227 | $874 | $516 | $1,777 | $832 | — | $190 | — | — |
| PENN MEDICINE DOYLESTOWN HEALTH WEST STATE STREET DOYLESTOWN |
$3,026 | $100 | $106 | $47.60 | $100 | — | — | $27.00 | — |
| PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH STEUBENVILLE PIKE OAKDALE |
$3,499 | — | — | — | — | — | — | — | $1,015 |
| PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH STEUBENVILLE PIKE OAKDALE |
$3,499 | — | — | — | — | — | — | — | $1,015 |
| PAM HEALTH SPECIALTY HOSPITAL HERITAGE VALLEY BEAVER |
$3,499 | — | — | — | — | — | — | — | $875 |
| PAM HEALTH SPECIALTY HOSPITAL HERITAGE VALLEY BEAVER |
$3,499 | — | — | — | — | — | — | — | $875 |
| WELLSPAN CHAMBERSBURG HOSPITAL CHAMBERSBURG |
$3,574 | $871 | $897 | $3,327 | $871 | — | $190 | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99291, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,631 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $939 for this?
That is the median of what the 69 Pennsylvania hospitals above publish for Critical care, first 30-74 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99291 in Pennsylvania, Medicare reimburses about $308 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Pennsylvania range from $108 to $7,909 — that means hospital cash prices are typically 3.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does critical care, first 30-74 minutes cost in Pennsylvania?
- Cash prices for critical care, first 30-74 minutes (CPT 99291) in Pennsylvania range from $108 to $7,909, with a median of $939. Prices vary widely by hospital.
- Where can I find the cheapest critical care, first 30-74 minutes in Pennsylvania?
- The cheapest Pennsylvania hospital published cash price for this procedure is $108. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Critical care, first 30-74 minutes in nearby states
Other procedures in Pennsylvania
Methodology. Cash prices and insurance-negotiated rates published by each Pennsylvania facility under federal price transparency rules (45 CFR § 180). CPT code 99291 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.