Office visit, established patient (20-29 min)
Facility: St Luke's Hospital - Upper Bucks Campus
Billing Code: 99213 (CPT)
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.
⚠ 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 $68 (about 0.7× the $95 Medicare rate). St Luke's Hospital - Upper Bucks Campus charges insurers about $42, or about $313 in cash — below the fair price — a good deal. Located in Quakertown, 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 | $101 | 106% |
| Blue Cross Blue Shieldmajor | $33 - $288 | 35% |
| Aetnamajor | $84 - $121 | 88% |
| Cignamajor | $95 | 100% |
| AmeriHealth | $42 | 44% |
| Geisinger | $41 - $98 | 43% |
| Oscar Health | $90 | 95% |
| UPMC Health Plan | $42 - $95 | 44% |
| + 2 smaller / regional plans | $35 - $50 |
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 St Luke's Hospital - Upper Bucks Campus
Compare: Office visit, established patient (20-29 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- UPMC Wellsboro · Wellsboro $39
- Surgical Institute of Reading · Wyomissing $40
- Geisinger-Community Medical Center · Scranton $41
- Geisinger-Bloomsburg Hospital · Bloomsburg $41
- Geisinger Wyoming Valley Medical Center · Wilkes Barre $41
- Geisinger Jersey Shore Hospital · Jersey Shore $41
- Washington Hospital, The · Washington $42
Insurance negotiated median for the same procedure, sorted lowest first.