CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Jefferson Abington Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.8× the $136 Medicare rate · typically $88–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $6 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $103 This hospital $97 Hospital's list price $130

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 $97

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 (30-39 min) is about $103 (about 0.8× the $136 Medicare rate). Jefferson Abington Hospital charges insurers about $97 — about the fair price. Located in Abington, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $157 - $233 116%
Aetnamajor $81 - $238 60%
Geisinger $114 - $150 84%
HealthPartners $54 - $78 40%
+ 7 smaller / regional plans $67 - $200
Government programs also on file: Medicare, Medicaid.
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: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals