Office visit (established patient) cost in Pennsylvania

Prices at 89 hospitals in Pennsylvania, from their machine-readable files. Here the median cash price is $207 — 19% above the US median ($175), roughly 1.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Saint Vincent Hospital Erie, PA $41 $80 ★ 4/5 219 min —
Jefferson Hospital Jefferson Hills, PA $43 $79 ★ 4/5 170 min —
Canonsburg General Hospital Canonsburg, PA $50 $75 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $50 $75 ★ 3/5 261 min —
Grove City Medical Center Grove City, PA $53 $75 ★ 4/5 150 min —
Allegheny Valley Hospital Natrona, PA $55 $79 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $55 $79 ★ 3/5 274 min —
Pottstown Hospital Pottstown, PA $58 $87 ★ 2/5 195 min —
Phoenixville Hospital Phoenixville, PA $58 $91 ★ 3/5 178 min —
Ahn Wexford Hospital Wexford, PA $59 $66 ★ 5/5 184 min —
Pennsylvania Psychiatric Institute Harrisburg, PA $60 $231 — — —
West Penn Hospital Pittsburgh, PA $62 $75 ★ 3/5 208 min —
Heritage Valley Beaver Beaver, PA $69 $83 ★ 3/5 185 min —
Heritage Valley Sewickley Sewickley, PA $69 $83 ★ 4/5 135 min —
Penn State Health Holy Spirit Medical Center Camp Hill, PA $83 $192 ★ 3/5 252 min —
UPMC Kane Kane, PA $91 $65 — 102 min —
Holy Redeemer Hospital and Medical Center Meadowbrook, PA $95 $104 ★ 3/5 195 min —
Punxsutawney Area Hospital Punxsutawney, PA $95 $91 ★ 2/5 136 min —
St Christopher's Hospital for Children Philadelphia, PA $115 $67 — — —
Penn Highlands Huntingdon Huntingdon, PA $125 $68 ★ 3/5 136 min —
Penn Highlands Tyrone Tyrone, PA $125 $102 — 104 min —
Penn Highlands Brookville Brookville, PA $125 $66 ★ 4/5 135 min —
Penn Highlands Elk Saint Marys, PA $125 $52 ★ 4/5 188 min —
Clarion Hospital Clarion, PA $130 $113 ★ 2/5 166 min —
UPMC Bedford Memorial Everett, PA $132 $129 ★ 4/5 142 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)
$345
Cash / self-pay
$207
Insurer-negotiated
$91
Medicare pays
$115
$55$423
Median cash $207  ·  Medicare $115  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $207 — about 1.8× the Medicare rate ($115). Reasonable. A fair cash price is usually within ~2× Medicare ($231).

💡 Asking for the cash price instead of the $345 list price could save about $138 (40%).

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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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Office visit (established patient) cost in other states

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