Office visit, established patient (30-39 min)
Facility: UPMC Somerset
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 $116 (about 0.9× the $136 Medicare rate). UPMC Somerset charges insurers about $76, or about $93 in cash — below the fair price — a good deal. Located in Somerset, 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 | $63 | 46% |
| Blue Cross Blue Shieldmajor | $23 - $99 | 17% |
| Aetnamajor | $62 | 46% |
| Humanamajor | $116 | 86% |
| AmeriHealth | $62 | 46% |
| Geisinger | $61 - $76 | 45% |
| UPMC Health Plan | $60 - $185 | 44% |
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 UPMC Somerset
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.