Office visit, established patient (20-29 min)
Facility: St Mary Medical Center
Billing Code: 99213 (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 Office visit, established patient (20-29 min) is about $59 (about 0.6× the $95 Medicare rate). St Mary Medical Center charges insurers about $67, or about $195 in cash — about the fair price. Located in Langhorne, PA.
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 | $48 - $97 | 50% |
| Blue Cross Blue Shieldmajor | $35 - $160 | 37% |
| Aetnamajor | $49 - $160 | 51% |
| Cignamajor | $35 - $231 | 37% |
| Humanamajor | $35 - $97 | 37% |
| Kaiser Permanentemajor | $55 - $94 | 58% |
| Ambetter (Centene) | $35 - $409 | 37% |
| AmeriHealth | $55 - $94 | 58% |
| Clover Health | $49 - $97 | 51% |
| GEHA | $48 - $81 | 50% |
| Health Net | $35 - $111 | 37% |
| HealthPartners | $35 - $131 | 37% |
| Meridian | $35 - $97 | 37% |
| Molina | $35 | 37% |
| Oscar Health | $75 - $413 | 79% |
| Paramount | $35 | 37% |
| Presbyterian | $35 - $97 | 37% |
| Tufts Health Plan | $35 | 37% |
| WellMed | $49 - $97 | 51% |
| WellSense | $35 | 37% |
| + 338 smaller / regional plans | $35 - $195 |
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: Office visit, established patient (20-29 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- UPMC Wellsboro · Wellsboro $39
- Surgical Institute of Reading · Wyomissing $40
- Geisinger-Community Medical Center · Scranton $41
- Geisinger-Bloomsburg Hospital · Bloomsburg $41
- Geisinger Wyoming Valley Medical Center · Wilkes Barre $41
- Geisinger Jersey Shore Hospital · Jersey Shore $41
- St Luke's Hospital - Upper Bucks Campus · Quakertown $42
Insurance negotiated median for the same procedure, sorted lowest first.