CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.9× the $95 Medicare rate · typically $65–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$366
Well above the fair price
about $281 over the fair price · 3.9× Medicare
Medicare pays $95 Fair price $85 This hospital $366 Cash price $366 Hospital's list price $366

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $366

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 (20-29 min) is about $85 (about 0.9× the $95 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $366, or about $366 in cash — well above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $85. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $56 - $366 59%
Blue Cross Blue Shieldmajor $92 - $366 97%
Aetnamajor $83 - $366 87%
Cignamajor $127 - $165 133%
Humanamajor $293 - $366 308%
Kaiser Permanentemajor $220 - $366 231%
Clover Health $366 384%
Devoted Health $146 153%
Geisinger $366 384%
Health Net $220 231%
HealthPartners $43 - $366 45%
Oscar Health $366 384%
UPMC Health Plan $92 - $366 97%
+ 34 smaller / regional plans $41 - $366
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals