CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Geisinger St. Luke's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.6× the $136 Medicare rate · typically $66–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $14 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $79 This hospital $65 Cash price $482 Hospital's list price $535

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 $65

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 Office visit, established patient (30-39 min) is about $79 (about 0.6× the $136 Medicare rate). Geisinger St. Luke's Hospital charges insurers about $65, or about $482 in cash — below the fair price — a good deal. Located in Orwigsburg, 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 $144 - $146 106%
Blue Cross Blue Shieldmajor $65 - $203 48%
Aetnamajor $123 - $185 91%
Cignamajor $151 111%
AmeriHealth $63 46%
Geisinger $64 - $138 47%
UPMC Health Plan $65 - $147 48%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 100 Paramount Boulevard, Orwigsburg, PA 17961
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals