CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Luke's Hospital - Grand View Campus

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.7× the $136 Medicare rate · typically $64–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
Below the fair price — a good deal
about $25 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $97 This hospital $72 Cash price $520 Hospital's list price $578

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 $72

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 Office visit, established patient (30-39 min) is about $97 (about 0.7× the $136 Medicare rate). St Luke's Hospital - Grand View Campus charges insurers about $72, or about $520 in cash — below the fair price — a good deal. Located in Sellersville, 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 $6,258 4615%
Blue Cross Blue Shieldmajor $103 - $114 76%
Aetnamajor $99 - $289 73%
Cignamajor $405 299%
Devoted Health $173 128%
HealthPartners $68 50%
Oscar Health $376 277%
UPMC Health Plan $71 52%
+ 5 smaller / regional plans $65 - $491
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 700 Lawn Avenue, Sellersville, PA 18960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals