CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Washington Hospital, The

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.7× the $118 Medicare rate · typically $57–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $18 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $83 This hospital $65 Cash price $60 Hospital's list price $92

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.

A fair price for a New patient office visit (30-44 min) is about $83 (about 0.7× the $118 Medicare rate). Washington Hospital, The charges insurers about $65, or about $60 in cash — below the fair price — a good deal. Located in Washington, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $37 - $134 31%
Aetnamajor $30 - $262 26%
Cignamajor $45 - $161 38%
AmeriHealth $62 53%
UPMC Health Plan $25 - $91 21%
+ 2 smaller / regional plans $51 - $188
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 155 Wilson Avenue, Washington, PA 15301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals