Office visit, established patient, 40-54 min in Pennsylvania
What Pennsylvania hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
56
Rate rows
1,926
Neg. median
$156.79
Min
$18.3
Max
$3,704
Cash median
$202.5
Across 56 Pennsylvania hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $18.3 to $3,704, with a median of $156.79. The interquartile range is $94.44 to $268.55. Cash-pay patients typically pay $202.5; gross charges median $342.
By payer in Pennsylvania
Top 30 payers for Office visit, established patient, 40-54 min in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 27 | 249 | $148.21 |
| Blue Cross Blue Shield | 26 | 234 | $138.63 |
| UnitedHealthcare | 25 | 89 | $106.02 |
| upmc health plan | 24 | 69 | $85.86 |
| Cigna | 23 | 101 | $121.18 |
| amerihealth caritas | 21 | 30 | $121.84 |
| pa health & wellness | 20 | 34 | $133.01 |
| upmc work partners | 20 | 20 | $200.2 |
| geisinger | 17 | 45 | $108.48 |
| intergroup | 14 | 58 | $268.8 |
| private health care systems | 13 | 26 | $388 |
| First Health | 12 | 42 | $296.1 |
| health partners plans (jefferson health plan) | 11 | 15 | $117.7 |
| Multiplan | 10 | 84 | $264 |
| Humana | 9 | 22 | $380.8 |
| preferred healthcare system | 6 | 12 | $286.5 |
| keystone first | 5 | 14 | $167.4 |
| america's choice | 4 | 24 | $207.35 |
| selectcare | 4 | 8 | $314.4 |
| health coalition partners | 4 | 6 | $267.2 |
| wirerope works | 4 | 24 | $132.89 |
| prime health services | 3 | 8 | $214.8 |
| health payors organization | 3 | 10 | $302.4 |
| three rivers provider network | 3 | 9 | $226.06 |
| pennsylvania health and wellness | 3 | 3 | $174.25 |
| health partners plans | 3 | 6 | $71.73 |
| Oscar Health | 3 | 8 | $121.72 |
| gateway health plan | 3 | 3 | $162.06 |
| national provider network | 2 | 4 | $334.88 |
| occunet | 2 | 6 | $250.6 |
Hospital comparison — Office visit, established patient, 40-54 min in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.