CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Wellspan York Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$89
about 0.8× the $118 Medicare rate · typically $71–$300
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $89 Cash price $202 Hospital's list price $253
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 | $238 - $706 | 202% |
| Blue Cross Blue Shieldmajor | $88 - $778 | 75% |
| Aetnamajor | $80 - $683 | 68% |
| Cignamajor | $138 - $670 | 117% |
| Geisinger | $147 - $712 | 125% |
| UPMC Health Plan | $147 - $712 | 125% |
| + 1 smaller / regional plan | $77 - $712 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan York Hospital
Compare: New patient office visit (30-44 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $60
- Geisinger-Community Medical Center · Scranton $64
- Geisinger-Bloomsburg Hospital · Bloomsburg $64
Insurance negotiated median for the same procedure, sorted lowest first.