CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Luke's Miners Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$54
about 0.6× the $95 Medicare rate · typically $42–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $12 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $54 This hospital $42 Cash price $290 Hospital's list price $322

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 $42

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 $54 (about 0.6× the $95 Medicare rate). St Luke's Miners Memorial Hospital charges insurers about $42, or about $290 in cash — below the fair price — a good deal. Located in Coaldale, 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 $93 98%
Blue Cross Blue Shieldmajor $42 - $267 44%
Aetnamajor $77 - $112 81%
Cignamajor $88 92%
AmeriHealth $42 44%
Geisinger $41 - $91 43%
Oscar Health $84 88%
UPMC Health Plan $42 - $88 44%
+ 2 smaller / regional plans $35 - $50

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 360 W Ruddle Street, Coaldale, PA 18218
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals