CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Lecom Medical Center and Behavioral Health Pav

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.8× the $118 Medicare rate · typically $71–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $91 This hospital $93 Cash price $209 Hospital's list price $417

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 $93

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 $91 (about 0.8× the $118 Medicare rate). Lecom Medical Center and Behavioral Health Pav charges insurers about $93, or about $209 in cash — about the fair price. Located in Erie, 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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $110 94%
Aetnamajor $230 196%
Cignamajor $288 245%
UPMC Health Plan $93 79%
+ 10 smaller / regional plans $209
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 5515 Peach Street, Erie, PA 16509
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals