CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Wellspan York Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$106
about 0.8× the $136 Medicare rate · typically $85–$339
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $106 Cash price $176 Hospital's list price $220
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 | $198 - $905 | 146% |
| Blue Cross Blue Shieldmajor | $54 - $885 | 40% |
| Aetnamajor | $82 - $876 | 60% |
| Cignamajor | $84 - $859 | 62% |
| Geisinger | $89 - $914 | 66% |
| UPMC Health Plan | $89 - $914 | 66% |
| + 1 smaller / regional plan | $89 - $914 |
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 (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.