CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Saint Vincent Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$71
about 0.7× the $95 Medicare rate · typically $55–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $4 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $71 This hospital $75 Cash price $666 Hospital's list price $812

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $75

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $71 (about 0.7× the $95 Medicare rate). Saint Vincent Hospital charges insurers about $75, or about $666 in cash — about the fair price. Located in Erie, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $21 - $98 22%
Blue Cross Blue Shieldmajor $55 - $70 58%
Aetnamajor $44 46%
Cignamajor $105 110%
AmeriHealth $37 - $66 39%
Geisinger $51 - $64 54%
+ 10 smaller / regional plans $46 - $192
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 232 West 25Th Street, Erie, PA 16544
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals