CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Gettysburg Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$134
about 1.4× the $95 Medicare rate · typically $110–$315
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $134 Cash price $122 Hospital's list price $153
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 - $796 | 141% |
| Blue Cross Blue Shieldmajor | $80 - $774 | 84% |
| Aetnamajor | $128 - $770 | 134% |
| Cignamajor | $128 - $756 | 134% |
| Geisinger | $135 - $799 | 142% |
| UPMC Health Plan | $114 - $782 | 120% |
| + 1 smaller / regional plan | $132 - $782 |
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: 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.