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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 October 2026.

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

$2,239

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $2,399 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,138$1,995 to $3,162
FacilityA hospital or hospital-owned outpatient department$2,399$2,239 to $12,882

How much rates vary

Facilitymedian $2,399 · 10th to 90th $2,239 to $19,953Professionalmedian $2,138 · 10th to 90th $1,622 to $3,715
$1K$2K$5K$10K$20K$50Kfacility $2,399professional $2,138

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,659.59
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$190.55
Typical High
$223.87
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Geisinger
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,019.95
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$194.98
Median
$245.47
Typical High
$331.13
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,862.09
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,137.96
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,621.81
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$14,125.38
Typical High
$24,547.09
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$281.84
Median
$1,995.26
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$3,715.35
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$281.84
Median
$288.40
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,479.11
Typical High
$2,454.71
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$128.82
Median
$199.53
Typical High
$323.59

Where Pennsylvania sits

The same service costs 13.5 times more in Kansas than in Montana. 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· 33rd of 51

$2,239

KS $5,754MT $427

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.