CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Titusville Area Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 0.7× the $95 Medicare rate · typically $45–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $65 This hospital $63 Cash price $87 Hospital's list price $145

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 $63

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 $65 (about 0.7× the $95 Medicare rate). Titusville Area Hospital charges insurers about $63, or about $87 in cash — about the fair price. Located in Titusville, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $43 - $1,023 45%
Blue Cross Blue Shieldmajor $49 - $64 51%
Aetnamajor $49 - $53 51%
Cignamajor $49 - $87 51%
Humanamajor $49 51%
UPMC Health Plan $58 61%
+ 1 smaller / regional plan $49
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 406 West Oak Street, Titusville, PA 16354
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals