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High Strength, Lightweight Wheelchair

Pennsylvania rates for HCPCS K0004

High strength, lightweight wheelchair

Rates data updated July 2026.

How much does High Strength, Lightweight Wheelchair cost?

$479

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $631 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$468$417 to $550
FacilityA hospital or hospital-owned outpatient department$631$363 to $1,047

How much rates vary

Facilitymedian $631 · 10th to 90th $68 to $8,128Professionalmedian $468 · 10th to 90th $372 to $708
$50$200$1K$5Kfacility $631professional $468

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$707.95
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$436.52
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$660.69
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$281.84
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$436.52
Typical High
$602.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$8,128.31
Typical High
$10,715.19
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$389.05
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$724.44

Where Pennsylvania sits

The same service costs 6.0 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· 32nd of 51

$479

KS $2,042AR $339

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.