Office visit, established patient (level 4) cost in Pennsylvania

Prices at 85 hospitals in Pennsylvania, from their machine-readable files. Here the median cash price is $246 — 27% above the US median ($194), roughly 1.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Saint Vincent Hospital Erie, PA $49 $96 ★ 4/5 212 min 14.7%
Jefferson Hospital Jefferson Hills, PA $52 $92 ★ 4/5 172 min 15.4%
Canonsburg General Hospital Canonsburg, PA $60 $87 ★ 3/5 155 min 15.6%
Forbes Hospital Monroeville, PA $60 $87 ★ 3/5 252 min 16.5%
Pottstown Hospital Pottstown, PA $60 $92 ★ 2/5 200 min 15.4%
Phoenixville Hospital Phoenixville, PA $60 $97 ★ 3/5 178 min 15.5%
Grove City Medical Center Grove City, PA $63 $87 ★ 4/5 147 min 14.1%
Allegheny Valley Hospital Natrona, PA $65 $92 ★ 4/5 201 min 15.7%
Allegheny General Hospital Pittsburgh, PA $65 $92 ★ 3/5 274 min 14.7%
Pennsylvania Psychiatric Institute Harrisburg, PA $67 $267
Ahn Wexford Hospital Wexford, PA $71 $79 ★ 5/5 186 min 15.3%
West Penn Hospital Pittsburgh, PA $73 $87 ★ 3/5 203 min 16.3%
Heritage Valley Beaver Beaver, PA $74 $86 ★ 3/5 185 min 14.5%
Heritage Valley Sewickley Sewickley, PA $74 $86 ★ 4/5 132 min 15.1%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA $78 $61 ★ 3/5 197 min 15.6%
Penn State Health Holy Spirit Medical Center Camp Hill, PA $94 $213 ★ 3/5 250 min 15.3%
Punxsutawney Area Hospital Punxsutawney, PA $102 $127 ★ 2/5 136 min 15.5%
UPMC Kane Kane, PA $103 $83 95 min
St Christopher's Hospital for Children Philadelphia, PA $121 $70
UPMC Bedford Memorial Everett, PA $142 $149 ★ 4/5 140 min 14.4%
Clarion Hospital Clarion, PA $154 $122 ★ 2/5 158 min 15.6%
Reading Hospital West Reading, PA $167 $87 ★ 4/5 238 min 15.4%
Wellspan York Hospital York, PA $168 $135 ★ 4/5 255 min 14.3%
Gettysburg Hospital Gettysburg, PA $168 $176 ★ 4/5 146 min 13.9%
Wellspan Surgery and Rehabilitation Hospital York, PA $168 $187 15.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$392
Cash / self-pay
$246
Insurer-negotiated
$127
Medicare pays
$136
$61$461
Median cash $246  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $246 — about 1.8× the Medicare rate ($136). Reasonable. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $392 list price could save about $146 (37%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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