Office visit, established patient (30-39 min)
Facility: Heritage Valley Sewickley
Billing Code: 99214 (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.
A fair price for a Office visit, established patient (30-39 min) is about $100 (about 0.7× the $136 Medicare rate). Heritage Valley Sewickley charges insurers about $103, or about $74 in cash — about the fair price. Located in Sewickley, 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 | $71 - $122 | 52% |
| Blue Cross Blue Shieldmajor | $65 - $121 | 48% |
| Aetnamajor | $54 - $151 | 40% |
| Cignamajor | $86 | 63% |
| UPMC Health Plan | $71 - $147 | 52% |
| + 2 smaller / regional plans | $65 - $83 |
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 Heritage Valley Sewickley
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.