Office visit, new patient, 45-59 min in Pennsylvania
What Pennsylvania hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
53
Rate rows
1,859
Neg. median
$187.92
Min
$20
Max
$3,704
Cash median
$265.05
Across 53 Pennsylvania hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $20 to $3,704, with a median of $187.92. The interquartile range is $106.02 to $337.5. Cash-pay patients typically pay $265.05; gross charges median $457.
By payer in Pennsylvania
Top 30 payers for Office visit, new patient, 45-59 min in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 27 | 247 | $181.44 |
| Blue Cross Blue Shield | 26 | 226 | $134.02 |
| UnitedHealthcare | 25 | 89 | $138.42 |
| upmc health plan | 24 | 68 | $99.41 |
| Cigna | 22 | 98 | $184.86 |
| amerihealth caritas | 21 | 30 | $141.08 |
| upmc work partners | 20 | 20 | $208.03 |
| pa health & wellness | 20 | 34 | $154.01 |
| geisinger | 17 | 45 | $125.61 |
| intergroup | 14 | 58 | $396 |
| private health care systems | 13 | 26 | $430.18 |
| First Health | 12 | 42 | $352.6 |
| health partners plans (jefferson health plan) | 11 | 15 | $136.28 |
| Multiplan | 10 | 84 | $352.07 |
| Humana | 9 | 22 | $508.3 |
| preferred healthcare system | 6 | 12 | $228.5 |
| keystone first | 5 | 13 | $190.44 |
| america's choice | 4 | 24 | $369.45 |
| wirerope works | 4 | 24 | $228.24 |
| health coalition partners | 4 | 6 | $430.83 |
| selectcare | 4 | 8 | $474.75 |
| gateway health plan | 3 | 3 | $151.15 |
| health partners plans | 3 | 6 | $71.73 |
| health payors organization | 3 | 8 | $437.5 |
| Oscar Health | 3 | 8 | $91.63 |
| pennsylvania health and wellness | 3 | 3 | $201.75 |
| prime health services | 3 | 8 | $161.7 |
| three rivers provider network | 3 | 9 | $234.59 |
| ibc | 2 | 6 | $137.64 |
| fidelis | 2 | 6 | $375 |
Hospital comparison — Office visit, new patient, 45-59 min in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Jeanes Hospital | Philadelphia | $101.87 | — | $539 |
| Temple University Hospital | Philadelphia | $116.96 | — | $539 |
| American Oncologic Hospial | Philadelphia | $129.17 | — | $627.5 |
| Aria Health | Philadelphia | $131.87 | — | $437 |
| Divine Providence Hospital | Williamsport | $133.24 | $257.1 | $428.5 |
| Lock Haven Hospital | Lock Haven | $133.24 | $257.1 | $428.5 |
| Williamsport Hospital & Medical Ctr | Williamsport | $133.24 | $257.1 | $428.5 |
| Upmc Magee-Womens Hospital | Pittsburgh | $134.02 | $274.2 | $457 |
| Altoona Regional Health System | Altoona | $134.02 | $274.2 | $457 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | $134.02 | $274.2 | $457 |
| The Childrens Home Of Pittsburgh | Pittsburgh | $134.02 | $274.2 | $457 |
| Thomas Jefferson Univ. Hospital | Philadelphia | $137.64 | — | $296.64 |
| Curahealth Heritage Valley | Beaver | $145.63 | $88.56 | $328 |
| Wellsboro | Wellsboro | $163.5 | $246.3 | $410.5 |
| Upmc Jameson | New Castle | $196.77 | $433.8 | $723 |
| Upmc Hamot | Erie | $198 | $297 | $495 |
| Charles Cole Memorial Hospital | Coudersport | $211.68 | $322.5 | $537.5 |
| Upmc Mercy Hospital | Pittsburgh | $216.87 | $300 | $500 |
| Upmc St Margaret | Pittsburgh | $219.29 | $388.8 | $648 |
| Upmc Passavant | Pittsburgh | $233.31 | $303 | $505 |
| Upmc East Hospital | Monroeville | $276.51 | $425.4 | $709 |
| Upmc Horizon Hospital | Greenville | $287.97 | $433.8 | $723 |
| Upmc - Presbyterian Shadyside | Pittsburgh | $300 | $350.4 | $584 |
| Upmc Bedford Memorial Hospital | Everett | $301.05 | $287.4 | $479 |
| Upmc Mckeesport | Mckeesport | $327.25 | $510 | $850 |
| Upmc Shadyside | Pittsburgh | $350 | $300 | $500 |
| Upmc Northwest Hospital | Seneca | $358.8 | $358.8 | $598 |
| Pennsylvania Psychiatric Institute | Harrisburg | — | $84.94 | $495 |
| Holy Spirit Hospital | Camp Hill | — | $118.26 | $495 |
| Chestnut Hill Hospital | Philadelphia | — | $115 | $460 |
| Uniontown Hospital | Uniontown | — | $302.75 | $605.5 |
| Reading Hospital And Medical Center | Reading | — | $270.55 | $386.5 |
| Clarion Hospital | Clarion | — | $188.72 | $337 |
| St. Joseph Medical Center | Reading | — | $29.91 | $115 |
| Windber Hospital Inc. | Windber | — | $236.3 | $278 |
| Pottstown Memorial Medical Center | Pottstown | — | $99.5 | $398 |
| Wayne Memorial Hospital | Honesdale | — | $176.4 | $252 |
| Phoenixville Hospital | Phoenixville | — | $115 | $460 |
| Miners Hospital | Hastings | — | $152 | $380 |
| Westmoreland Regional Hospital | Greensburg | — | $174.9 | $291.5 |
| Butler Memorial Hospital | Butler | — | $235.9 | $337 |
| The Chester County Hospital | West Chester | — | $342 | $342 |
| Doylestown Hospital | Doylestown | — | $359 | $359 |
| Frick Hospital | Mount Pleasant | — | $174.9 | $291.5 |
| Latrobe Area Hospital | Latrobe | — | $174 | $290 |
| Presbyterian Medical Center | Philadelphia | — | $965 | $965 |
| Physicians Care Surgical Hospital | Royersford | — | — | $385 |
| Meyersdale Community Hospital | Meyersdale | — | $153.2 | $383 |
| Miners Hospital | Hastings | — | $152 | $380 |
| Lifecare Hospitals Of Chester County | West Chester | — | $342 | $342 |
| Allied Services Rehab Hospital | Scranton | — | — | $410 |
| John Heinz Instit. Of Rehab Medicine | Wilkes-Barre | — | — | $410 |
| Penn State Hershey Rehabilitation Ll | Hummelstown | — | $29.91 | $115 |