New patient office visit (30-44 min)
Facility: Penn Presbyterian Medical Center
Billing Code: 99203 (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.
A fair price for a New patient office visit (30-44 min) is about $97 (about 0.8× the $118 Medicare rate). Penn Presbyterian Medical Center charges insurers about $405, or about $405 in cash — well above the fair price. Located in Philadelphia, 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 $97. 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.
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 | $107 - $405 | 91% |
| Blue Cross Blue Shieldmajor | $101 - $405 | 86% |
| Aetnamajor | $113 - $405 | 96% |
| Cignamajor | $128 - $156 | 109% |
| Humanamajor | $324 | 276% |
| Clover Health | $405 | 344% |
| Geisinger | $405 | 344% |
| Health Net | $243 | 207% |
| HealthPartners | $57 - $405 | 48% |
| Oscar Health | $405 | 344% |
| UPMC Health Plan | $101 - $405 | 86% |
| + 33 smaller / regional plans | $49 - $405 |
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 Penn Presbyterian Medical Center
Compare: New patient office visit (30-44 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $60
- Geisinger-Community Medical Center · Scranton $64
- Geisinger-Bloomsburg Hospital · Bloomsburg $64
Insurance negotiated median for the same procedure, sorted lowest first.