CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Lower Bucks Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$97
about 0.7× the $136 Medicare rate · typically $57–$186
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $39 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $97 This hospital $58 Hospital's list price $1,249

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 3 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $25 Priciest $64

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $97 (about 0.7× the $136 Medicare rate). Lower Bucks Hospital charges insurers about $58 — below the fair price — a good deal. Located in Bristol, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $61 45%
HealthPartners $54 40%
+ 1 smaller / regional plan $58

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals