CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$73
about 0.8× the $95 Medicare rate · typically $53–$169
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $73 This hospital $74 Hospital's list price $510

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 $74

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 (20-29 min) is about $73 (about 0.8× the $95 Medicare rate). Hospital of the Fox Chase Cancer Center charges insurers about $74 — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 - $83 84%
Blue Cross Blue Shieldmajor $59 - $133 62%
Aetnamajor $104 - $110 109%
HealthPartners $40 42%
Oscar Health $85 - $88 89%
UPMC Health Plan $77 81%
+ 3 smaller / regional plans $74 - $322
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: 333 Cottman Avenue, Philadelphia, PA 19111
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL