CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Allegheny General Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.7× the $118 Medicare rate · typically $72–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $3 over the fair price · 0.7× Medicare
Medicare pays $118 Fair price $81 This hospital $84 Cash price $515 Hospital's list price $677

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 $84

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $81 (about 0.7× the $118 Medicare rate). Allegheny General Hospital charges insurers about $84, or about $515 in cash — about the fair price. Located in Pittsburgh, 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

✓ 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 $21 - $144 18%
Blue Cross Blue Shieldmajor $71 - $87 60%
Aetnamajor $65 55%
Cignamajor $131 111%
AmeriHealth $57 - $90 48%
Geisinger $79 - $87 67%
+ 8 smaller / regional plans $57 - $247
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 320 East North Avenue, Pittsburgh, PA 15212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals