CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Thomas Jefferson University Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$98
about 0.7× the $136 Medicare rate · typically $75–$179
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $98 Hospital's list price $140
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
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $114 | 84% |
| + 3 smaller / regional plans | $78 - $167 |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Thomas Jefferson University Hospital
Compare: Office visit, established patient (30-39 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- St Mary Medical Center · Langhorne $54
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $61
- St Clair Hospital · Pittsburgh $63
Insurance negotiated median for the same procedure, sorted lowest first.