CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Penn Highlands Connellsville

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.7× the $118 Medicare rate · typically $71–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
Above the fair price
about $19 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $81 This hospital $100 Cash price $178 Hospital's list price $297

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 $100

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 $81 (about 0.7× the $118 Medicare rate). Penn Highlands Connellsville charges insurers about $100, or about $178 in cash — above the fair price. Located in Connellsville, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $81. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $80 - $108 68%
Blue Cross Blue Shieldmajor $73 - $114 62%
Aetnamajor $111 - $232 94%
Cignamajor $104 88%
Geisinger $77 - $105 65%
UPMC Health Plan $57 - $163 48%
Government programs also on file: Medicare.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 401 East Murphy Avenue, Connellsville, PA 15425
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals