How much does an Office visit, established patient cost in Pennsylvania?
Office visit, established patient (level 3) · CPT 99213 · State: Pennsylvania
In Pennsylvania, the typical insurer-negotiated price for an Office visit, established patient (level 3) is about $118, with most between $77 and $159 ($207 cash/self-pay). Based on 123 Pennsylvania hospitals — about the same as the national typical of $122. Hospital list charges run about $259 (2.2× higher).
Source: medians across 123 Pennsylvania hospitals' published price files (≥5 reporting). See the national Office visit, established patient (level 3) cost for the full picture. Estimates vary by hospital, insurer, and plan.
Office visit, established patient (level 3) cost in Pennsylvania — FAQs
How much does an Office visit, established patient (level 3) cost in Pennsylvania?
In Pennsylvania, the typical insurer-negotiated price for an Office visit, established patient (level 3) is about $118, with most between $77 and $159, based on 123 Pennsylvania hospitals. That's about the same as the national typical of $122.
How much does an Office visit, established patient (level 3) cost without insurance in Pennsylvania?
Cash or self-pay prices for an Office visit, established patient (level 3) in Pennsylvania run around $207. Hospitals often bill the higher "list" charge first (about $259), so ask for the cash or self-pay rate.
Why is my Pennsylvania hospital bill for an Office visit, established patient (level 3) so high?
Pennsylvania hospital "list" charges for an Office visit, established patient (level 3) run about $259 — roughly 2.2× the $118 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.
Can I negotiate the cost of an Office visit, established patient (level 3) in Pennsylvania?
Yes. If a Pennsylvania hospital charged you well above the typical negotiated rate (about $118), that gap is negotiable. Upfronte audits your bill against real Pennsylvania hospital pricing data and negotiates it down on your behalf — no savings, no fee.
Charged more than $118 in Pennsylvania?
Upload your bill and Upfronte will check it against real Pennsylvania hospital prices and negotiate overcharges. No savings, no fee.
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