CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Wellspan York Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$71
about 0.7× the $95 Medicare rate · typically $56–$278
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $71 Cash price $118 Hospital's list price $148
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 | $134 - $791 | 141% |
| Blue Cross Blue Shieldmajor | $68 - $778 | 71% |
| Aetnamajor | $64 - $766 | 67% |
| Cignamajor | $106 - $751 | 111% |
| Geisinger | $113 - $799 | 119% |
| UPMC Health Plan | $113 - $799 | 119% |
| + 1 smaller / regional plan | $62 - $799 |
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: Office visit, established patient (20-29 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- UPMC Wellsboro · Wellsboro $39
- Surgical Institute of Reading · Wyomissing $40
- Geisinger-Community Medical Center · Scranton $41
- Geisinger-Bloomsburg Hospital · Bloomsburg $41
- Geisinger Wyoming Valley Medical Center · Wilkes Barre $41
- Geisinger Jersey Shore Hospital · Jersey Shore $41
- St Luke's Hospital - Upper Bucks Campus · Quakertown $42
Insurance negotiated median for the same procedure, sorted lowest first.