Office visit, established patient, 20-29 minutes in Pennsylvania
What Pennsylvania hospitals charge for office visit, established patient, 20-29 minutes (CPT 99213). Rates sourced from federally-mandated machine-readable files.
Hospitals
57
Rate rows
2,013
Neg. median
$103.39
Min
$8.78
Max
$3,704
Cash median
$147.6
Across 57 Pennsylvania hospitals, the negotiated rate for Office visit, established patient, 20-29 minutes ranges from $8.78 to $3,704, with a median of $103.39. The interquartile range is $55.6 to $175. Cash-pay patients typically pay $147.6; gross charges median $261.
By payer in Pennsylvania
Top 30 payers for Office visit, established patient, 20-29 minutes in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 28 | 262 | $102.3 |
| Blue Cross Blue Shield | 26 | 249 | $80.13 |
| UnitedHealthcare | 26 | 92 | $87.43 |
| Cigna | 24 | 105 | $104.4 |
| upmc health plan | 24 | 73 | $44 |
| amerihealth caritas | 21 | 34 | $54.64 |
| pa health & wellness | 20 | 38 | $59.65 |
| upmc work partners | 20 | 20 | $86.46 |
| geisinger | 17 | 49 | $55.6 |
| private health care systems | 14 | 27 | $248.8 |
| intergroup | 14 | 58 | $182.7 |
| First Health | 13 | 43 | $209.42 |
| health partners plans (jefferson health plan) | 11 | 19 | $52.78 |
| Multiplan | 11 | 85 | $182.7 |
| Humana | 9 | 22 | $257.13 |
| preferred healthcare system | 6 | 12 | $192 |
| keystone first | 5 | 13 | $85.6 |
| america's choice | 4 | 24 | $158.4 |
| wirerope works | 4 | 24 | $99.53 |
| selectcare | 4 | 8 | $220.8 |
| health coalition partners | 4 | 6 | $196.8 |
| gateway health plan | 3 | 3 | $74.08 |
| prime health services | 3 | 8 | $150 |
| pennsylvania health and wellness | 3 | 3 | $78.14 |
| health payors organization | 3 | 10 | $211.5 |
| health partners plans | 3 | 6 | $39.67 |
| Oscar Health | 3 | 8 | $85 |
| Medicaid | 3 | 22 | $62.31 |
| three rivers provider network | 3 | 9 | $139.5 |
| innovage | 2 | 6 | $125 |
Hospital comparison — Office visit, established patient, 20-29 minutes in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.