Office visit, established patient (30-39 min)
Facility: UPMC Children's Hospital of Pittsburgh
Billing Code: 99214 (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 (30-39 min) is about $105 (about 0.8× the $136 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $212, or about $253 in cash — well above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $105. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $169 - $216 | 125% |
| Blue Cross Blue Shieldmajor | $180 - $270 | 133% |
| Aetnamajor | $91 - $232 | 67% |
| Cignamajor | $64 - $232 | 47% |
| AmeriHealth | $204 | 150% |
| Geisinger | $190 - $224 | 140% |
| HealthPartners | $211 | 156% |
| UPMC Health Plan | $126 - $185 | 93% |
| + 7 smaller / regional plans | $221 - $380 |
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 UPMC Children's Hospital of Pittsburgh
Compare: Office visit, established patient (30-39 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- St Mary Medical Center · Langhorne $54
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $61
- St Clair Hospital · Pittsburgh $63
Insurance negotiated median for the same procedure, sorted lowest first.