CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Gettysburg Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$225
about 1.7× the $136 Medicare rate · typically $132–$451
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $225 Cash price $184 Hospital's list price $230
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 | $199 - $911 | 147% |
| Blue Cross Blue Shieldmajor | $118 - $885 | 87% |
| Aetnamajor | $136 - $880 | 100% |
| Cignamajor | $189 - $865 | 139% |
| Geisinger | $200 - $914 | 147% |
| UPMC Health Plan | $159 - $895 | 117% |
| + 1 smaller / regional plan | $132 - $895 |
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 (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.