New patient office visit (30-44 min)
Facility: Wellspan Evangelical Community Hospital
Billing Code: 99203 (CPT)
This hospital's typical commercial price is $124 compared to the $101 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.23× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a New patient office visit (30-44 min) is about $101 (about 0.9× the $118 Medicare rate). Wellspan Evangelical Community Hospital charges insurers about $124, or about $239 in cash — above the fair price. Located in Lewisburg, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $101. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $290 | 247% |
| Blue Cross Blue Shieldmajor | $78 - $124 | 66% |
| Aetnamajor | $124 | 105% |
| Humanamajor | $124 | 105% |
| Geisinger | $124 | 105% |
| UPMC Health Plan | $66 - $529 | 56% |
| + 1 smaller / regional plan | $124 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Wellspan Evangelical Community Hospital
Compare: New patient office visit (30-44 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $60
- St Luke's Hospital - Upper Bucks Campus · Quakertown $65
- Washington Hospital, The · Washington $65
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Wellspan Evangelical Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $109
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $109).
Self-Pay Cash Rate ($239) Beats Your Bill
Wellspan Evangelical Community Hospital's published 45 CFR § 180 self-pay cash rate is $239 (vs. $124 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $101 Fair BaseRate ($118 Medicare)
Your bill ($299) is $198 above the denoised Fair BaseRate ($101) and 2.5× the $118 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.