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Standard Wheelchair

Pennsylvania rates for HCPCS K0001

Standard wheelchair

Rates data updated July 2026.

How much does Standard Wheelchair cost?

$214

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$200 to $245
FacilityA hospital or hospital-owned outpatient department$275$186 to $2,818

How much rates vary

Facilitymedian $275 · 10th to 90th $25 to $3,802Professionalmedian $209 · 10th to 90th $174 to $324
$20$100$500$2Kfacility $275professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$281.84
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$323.59
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$281.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,467.37
Typical High
$4,570.88
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$48.98
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$213.80
Typical High
$331.13

Where Pennsylvania sits

The same service costs 5.0 times more in Kansas than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 41st of 51

$214

KS $832AR $166

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.