CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Phoenixville Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.7× the $136 Medicare rate · typically $87–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $6 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $101 This hospital $95 Cash price $62 Hospital's list price $247

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 $95

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 $101 (about 0.7× the $136 Medicare rate). Phoenixville Hospital charges insurers about $95, or about $62 in cash — about the fair price. Located in Phoenixville, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $58 - $83 43%
Blue Cross Blue Shieldmajor $91 - $218 67%
Aetnamajor $70 - $173 52%
Cignamajor $91 - $94 67%
Geisinger $91 - $184 67%
+ 2 smaller / regional plans $87 - $326
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: 140 Nutt Road, Phoenixville, PA 19460
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals