Office visit, established patient (30-39 min)
Facility: Temple University Hospital
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $98 compared to the $106 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.92× 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 Office visit, established patient (30-39 min) is about $106 (about 0.8× the $136 Medicare rate). Temple University Hospital charges insurers about $98 — about the fair price. Located in Philadelphia, 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
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 | $73 - $243 | 54% |
| Blue Cross Blue Shieldmajor | $21 - $1,201 | 15% |
| Aetnamajor | $33 - $193 | 24% |
| Cignamajor | $24 - $97 | 18% |
| AmeriHealth | $65 | 48% |
| Geisinger | $59 - $196 | 44% |
| HealthPartners | $52 | 38% |
| Oscar Health | $37 - $122 | 27% |
| UPMC Health Plan | $120 | 88% |
| + 6 smaller / regional plans | $54 - $993 |
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 Temple University Hospital
Compare: Office visit, established patient (30-39 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- St Mary Medical Center · Langhorne $54
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $61
- St Clair Hospital · Pittsburgh $63
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Temple University Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $196
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 = $196).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Temple University Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $106 Fair BaseRate ($136 Medicare)
Your bill ($539) is $433 above the denoised Fair BaseRate ($106) and 4.0× the $136 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.