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Power Wheelchair, Group 1 Standard, Captain's Chair

Pennsylvania rates for HCPCS K0816

Power wheelchair, group 1 standard, captain's chair, patient weight capacity up to and including 300 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 1 Standard, Captain's Chair cost?

$2,042

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $2,239 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 7 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$2,042$1,995 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,239$389 to $3,548

How much rates vary

Facilitymedian $2,239 · 10th to 90th $219 to $21,380Professionalmedian $2,042 · 10th to 90th $1,549 to $2,630
$200$500$1K$2K$5K$10K$20Kfacility $2,239professional $2,042

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
$1,548.82
Median
$2,041.74
Typical High
$2,630.27
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,949.84
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,981.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,019.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,630.27
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$21,379.62
Typical High
$28,183.83
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$3,090.30

Where Pennsylvania sits

The same service costs 3.2 times more in Kansas than in Oregon. 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· 45th of 51

$2,042

KS $5,754OR $1,778

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.