CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Gettysburg Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$191
about 1.6× the $118 Medicare rate · typically $124–$392
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $191 Cash price $129 Hospital's list price $161
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 | $152 | 129% |
| Blue Cross Blue Shieldmajor | $90 - $771 | 77% |
| Aetnamajor | $136 - $147 | 116% |
| Cignamajor | $145 | 123% |
| Geisinger | $153 | 130% |
| UPMC Health Plan | $129 - $159 | 110% |
| + 1 smaller / regional plan | $132 - $150 |
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 Gettysburg 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.