CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$69
about 0.6× the $118 Medicare rate · typically $60–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
About the fair price
about $5 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $69 This hospital $64 Cash price $221 Hospital's list price $357

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 $64

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $69 (about 0.6× the $118 Medicare rate). Geisinger Wyoming Valley Medical Center charges insurers about $64, or about $221 in cash — about the fair price. Located in Wilkes Barre, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $58 - $83 49%
Aetnamajor $166 - $238 141%
Cignamajor $155 - $162 132%
AmeriHealth $62 53%
Geisinger $56 48%
HealthPartners $65 55%
UPMC Health Plan $64 - $68 54%
+ 3 smaller / regional plans $178 - $303
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals