CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Luke's Hospital - Upper Bucks Campus

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.7× the $136 Medicare rate · typically $64–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $29 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $94 This hospital $65 Cash price $520 Hospital's list price $578

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 $65

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 (30-39 min) is about $94 (about 0.7× the $136 Medicare rate). St Luke's Hospital - Upper Bucks Campus charges insurers about $65, or about $520 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

✓ 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 $167 123%
Blue Cross Blue Shieldmajor $55 - $479 41%
Aetnamajor $123 - $202 91%
Cignamajor $158 117%
AmeriHealth $65 48%
Geisinger $64 - $163 47%
Oscar Health $150 111%
UPMC Health Plan $65 - $158 48%
+ 2 smaller / regional plans $54 - $78

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 3000 St. Luke's Drive, Quakertown, PA 18951
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals