Office visit, established patient, 5 min in Pennsylvania
What Pennsylvania hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
56
Rate rows
2,351
Neg. median
$62.9
Min
$1.1
Max
$3,704
Cash median
$102
Across 56 Pennsylvania hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $1.1 to $3,704, with a median of $62.9. The interquartile range is $27.8 to $117.5. Cash-pay patients typically pay $102; gross charges median $167.
By payer in Pennsylvania
Top 30 payers for Office visit, established patient, 5 min in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 27 | 289 | $59.16 |
| UnitedHealthcare | 25 | 103 | $42 |
| Blue Cross Blue Shield | 25 | 295 | $37.42 |
| upmc health plan | 24 | 80 | $31.95 |
| Cigna | 23 | 110 | $63.91 |
| amerihealth caritas | 21 | 40 | $31.22 |
| pa health & wellness | 20 | 43 | $34.08 |
| upmc work partners | 20 | 20 | $38.83 |
| geisinger | 17 | 57 | $49.58 |
| intergroup | 14 | 62 | $125.1 |
| private health care systems | 12 | 24 | $176 |
| First Health | 12 | 44 | $127.96 |
| Multiplan | 11 | 102 | $120.9 |
| health partners plans (jefferson health plan) | 10 | 18 | $30.16 |
| Humana | 9 | 27 | $136.85 |
| preferred healthcare system | 6 | 12 | $145.5 |
| wirerope works | 5 | 28 | $91.46 |
| keystone first | 5 | 12 | $61.36 |
| america's choice | 5 | 28 | $138.8 |
| selectcare | 4 | 8 | $146 |
| three rivers provider network | 4 | 11 | $139.5 |
| health coalition partners | 4 | 6 | $128.8 |
| prime health services | 3 | 13 | $10.2 |
| health payors organization | 3 | 14 | $145.35 |
| pennsylvania health and wellness | 3 | 3 | $44.65 |
| health partners plans | 3 | 6 | $29.58 |
| Oscar Health | 3 | 13 | $5.78 |
| fidelis | 3 | 14 | $127.5 |
| gateway health plan | 3 | 3 | $9.89 |
| occunet | 2 | 10 | $11.9 |
Hospital comparison — Office visit, established patient, 5 min in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.