New patient office visit (30-44 min)
Facility: UPMC Pinnacle Hospitals
Billing Code: 99203 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a New patient office visit (30-44 min) is about $84 (about 0.7× the $118 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $92, or about $160 in cash — about the fair price. Located in Harrisburg, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
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 | $71 | 60% |
| Blue Cross Blue Shieldmajor | $39 - $514 | 33% |
| Aetnamajor | $49 - $451 | 42% |
| AmeriHealth | $69 | 59% |
| Geisinger | $79 | 67% |
| HealthPartners | $74 | 63% |
| UPMC Health Plan | $136 - $289 | 116% |
| + 5 smaller / regional plans | $39 - $625 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UPMC Pinnacle Hospitals
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.