CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Pottstown Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 0.8× the $118 Medicare rate · typically $76–$165
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
Below the fair price — a good deal
about $14 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $92 This hospital $78 Cash price $71 Hospital's list price $283

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 $78

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 $92 (about 0.8× the $118 Medicare rate). Pottstown Hospital charges insurers about $78, or about $71 in cash — below the fair price — a good deal. Located in Pottstown, PA.

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 $62 - $87 53%
Blue Cross Blue Shieldmajor $74 - $225 63%
Aetnamajor $74 - $173 63%
Cignamajor $77 - $92 65%
Humanamajor $74 - $78 63%
Geisinger $77 - $187 65%
HealthPartners $78 - $139 66%
UPMC Health Plan $212 180%
+ 2 smaller / regional plans $101 - $340
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1600 East High Street, Pottstown, PA 19464
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals