Office visit, established patient (20-29 min)
Facility: UPMC Horizon
Billing Code: 99213 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Office visit, established patient (20-29 min) is about $68 (about 0.7× the $95 Medicare rate). UPMC Horizon charges insurers about $53, or about $216 in cash — below the fair price — a good deal. Located in Greenville, 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
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 | $37 - $144 | 39% |
| Blue Cross Blue Shieldmajor | $52 - $180 | 55% |
| Aetnamajor | $36 - $216 | 38% |
| Cignamajor | $64 - $144 | 67% |
| Humanamajor | $306 | 321% |
| AmeriHealth | $55 | 58% |
| Geisinger | $49 | 51% |
| HealthPartners | $53 | 56% |
| UPMC Health Plan | $38 - $156 | 40% |
| + 5 smaller / regional plans | $60 - $295 |
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.
Other Procedures at UPMC Horizon
Compare: Office visit, established patient (20-29 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- UPMC Wellsboro · Wellsboro $39
- Surgical Institute of Reading · Wyomissing $40
- Geisinger-Community Medical Center · Scranton $41
- Geisinger-Bloomsburg Hospital · Bloomsburg $41
- Geisinger Wyoming Valley Medical Center · Wilkes Barre $41
- Geisinger Jersey Shore Hospital · Jersey Shore $41
- St Luke's Hospital - Upper Bucks Campus · Quakertown $42
Insurance negotiated median for the same procedure, sorted lowest first.