CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 0.7× the $118 Medicare rate · typically $69–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$111
Above the fair price
about $24 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $87 This hospital $111 Cash price $171 Hospital's list price $201

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 $111

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 $87 (about 0.7× the $118 Medicare rate). Chan Soon- Shiong Medical Center at Windber charges insurers about $111, or about $171 in cash — above the fair price. Located in Windber, 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 $87. 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.

5 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 $50 - $110 43%
Blue Cross Blue Shieldmajor $62 - $112 53%
Aetnamajor $108 - $115 92%
Cignamajor $75 - $112 64%
Humanamajor $111 94%
AmeriHealth $111 94%
Geisinger $111 94%
UPMC Health Plan $52 - $205 44%
+ 2 smaller / regional plans $111 - $112
Government programs also on file: Military & VA.

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.

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Facility Profile & Credentials

  • Address: 600 Somerset Avenue, Windber, PA 15963
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals