New patient office visit (30-44 min)
Facility: St Mary 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 $81 (about 0.7× the $118 Medicare rate). St Mary Medical Center charges insurers about $120, or about $240 in cash — above the fair price. Located in Langhorne, 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.
6 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 | $81 - $124 | 69% |
| Blue Cross Blue Shieldmajor | $54 - $178 | 46% |
| Aetnamajor | $74 - $198 | 63% |
| Cignamajor | $54 - $204 | 46% |
| Humanamajor | $54 - $216 | 46% |
| Kaiser Permanentemajor | $126 | 107% |
| Ambetter (Centene) | $54 - $174 | 46% |
| AmeriHealth | $126 | 107% |
| Clover Health | $120 | 102% |
| GEHA | $124 | 105% |
| Health Net | $54 - $138 | 46% |
| HealthPartners | $54 - $162 | 46% |
| Meridian | $54 - $120 | 46% |
| Molina | $54 | 46% |
| Oscar Health | $181 | 154% |
| Paramount | $54 | 46% |
| Presbyterian | $54 - $120 | 46% |
| Tufts Health Plan | $54 | 46% |
| WellMed | $120 | 102% |
| WellSense | $54 | 46% |
| + 338 smaller / regional plans | $54 - $240 |
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 St Mary 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.