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

Prices at 89 hospitals in Pennsylvania, from their machine-readable files. Here the median cash price is $242 — 25% above the US median ($194), roughly 1.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Saint Vincent Hospital Erie, PA $49 $96 ★ 4/5 219 min —
Jefferson Hospital Jefferson Hills, PA $52 $92 ★ 4/5 170 min —
Canonsburg General Hospital Canonsburg, PA $60 $87 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $60 $87 ★ 3/5 261 min —
Pottstown Hospital Pottstown, PA $60 $92 ★ 2/5 195 min —
Phoenixville Hospital Phoenixville, PA $60 $97 ★ 3/5 178 min —
Grove City Medical Center Grove City, PA $63 $87 ★ 4/5 150 min —
Allegheny Valley Hospital Natrona, PA $65 $92 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $65 $92 ★ 3/5 274 min —
Pennsylvania Psychiatric Institute Harrisburg, PA $67 $267 — — —
Ahn Wexford Hospital Wexford, PA $71 $79 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $73 $87 ★ 3/5 208 min —
Heritage Valley Beaver Beaver, PA $74 $86 ★ 3/5 185 min —
Heritage Valley Sewickley Sewickley, PA $74 $86 ★ 4/5 135 min —
Penn State Health Holy Spirit Medical Center Camp Hill, PA $94 $213 ★ 3/5 252 min —
Punxsutawney Area Hospital Punxsutawney, PA $102 $127 ★ 2/5 136 min —
UPMC Kane Kane, PA $103 $83 — 102 min —
Holy Redeemer Hospital and Medical Center Meadowbrook, PA $112 $147 ★ 3/5 195 min —
St Christopher's Hospital for Children Philadelphia, PA $121 $70 — — —
UPMC Bedford Memorial Everett, PA $142 $149 ★ 4/5 142 min —
Penn Highlands Huntingdon Huntingdon, PA $144 $85 ★ 3/5 136 min —
Penn Highlands Tyrone Tyrone, PA $144 $116 — 104 min —
Penn Highlands Brookville Brookville, PA $144 $73 ★ 4/5 135 min —
Penn Highlands Elk Saint Marys, PA $144 $58 ★ 4/5 188 min —
Clarion Hospital Clarion, PA $154 $122 ★ 2/5 166 min —

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 October 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)
$369
Cash / self-pay
$242
Insurer-negotiated
$125
Medicare pays
$136
$62$451
Median cash $242  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $242 — 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 $369 list price could save about $127 (34%).

Estimate what you’ll pay
Quick fill:

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

By city

Office visit, established patient (level 4) cost in other states

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