CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Wellspan Surgery and Rehabilitation Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$145
about 1.1× the $136 Medicare rate · typically $68–$375
modeled estimate · not a bill or quote
What this hospital charges insurers
$136
About the fair price
about $9 under the fair price · 1.0× Medicare
Medicare pays $136 Fair price $145 This hospital $136 Cash price $168 Hospital's list price $210

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 $136

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 $145 (about 1.1× the $136 Medicare rate). Wellspan Surgery and Rehabilitation Hospital charges insurers about $136, or about $168 in cash — about the fair price. Located in York, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $191 141%
Blue Cross Blue Shieldmajor $122 - $193 90%
Aetnamajor $136 - $186 100%
Cignamajor $188 139%
Geisinger $197 145%
UPMC Health Plan $195 144%
+ 1 smaller / regional plan $200
Government programs also on file: 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: 55 Monument Road, York, PA 17403
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals