Office visit, established patient (level 4) cost in Philadelphia, PA

Prices at 14 hospitals in Philadelphia, PA, from their machine-readable files. Here the median cash price is $424 — 119% above the US median ($194), roughly 3.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
St Christopher's Hospital for Children Philadelphia, PA $121 $70
Nazareth Hospital Philadelphia, PA $205 $54 ★ 2/5 216 min 14.5%
Hospital of Univ of Pennsylvania Philadelphia, PA $299 $205 ★ 5/5 280 min 14.4%
Shriners Hospitals for Children-Philadelphia Philadelphia, PA $330 $100
Pennsylvania Hospital Philadelphia, PA $518 $337 ★ 4/5 272 min 15.8%
Penn Presbyterian Medical Center Philadelphia, PA $965 $608 ★ 4/5 316 min 15.2%
Philadelphia VA Medical Center Philadelphia, PA $978 $430 ★ 5/5 14.5%
Children's Hospital of Philadelphia Philadelphia, PA $978 $430

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 August 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)
$518
Cash / self-pay
$424
Insurer-negotiated
$102
Medicare pays
$136
$180$978
Median cash $424  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $424 — about 3.1× the Medicare rate ($136). On the higher side. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $518 list price could save about $94 (18%).

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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.

Doctors who perform this in Philadelphia

Clinicians who reported the most Medicare volume for this service locally. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

All Office visit, established patient (level 4) prices in Pennsylvania → · All Office visit, established patient (level 4) prices (national) · All hospitals in Philadelphia