Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC OFFICE OUT/PT VISIT EST LEVL III
Philadelphia, PA
See all hospitals reporting CPT 99213 →Price type
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center’s median price of $490 is 295% above the median hospital's median price ($124), higher than 98% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $68.95 | $68.95 | $68.95 – $68.95 |
| 2 | Highmark highmark facility · other · outpatient | $194.25 | $194.25 | $194.25 – $194.25 |
| 3 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $209.79 | $209.79 | $209.79 – $209.79 |
| 4 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $216.01 | $216.01 | $216.01 – $216.01 |
| 5 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $216.01 | $216.01 | $216.01 – $216.01 |
| 6 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $246.08 | $246.08 | $246.08 – $246.08 |
| 7 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $299.07 | $299.07 | $299.07 – $299.07 |
| 8 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $313.91 | $313.91 | $313.91 – $313.91 |
| 9 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $359.75 | $359.75 | $359.75 – $359.75 |
| 10 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $388.50 | $388.50 | $388.50 – $388.50 |
| 11 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $388.50 | $388.50 | $388.50 – $388.50 |
| 12 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $388.50 | $388.50 | $388.50 – $388.50 |
| 13 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $396.27 | $396.27 | $396.27 – $396.27 |
| 14 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · outpatientfrom % of charges | $473.97 | $473.97 | $473.97 – $473.97 |
| 15 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $621.60 | $621.60 | $621.60 – $621.60 |
| 16 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $621.60 | $621.60 | $621.60 – $621.60 |
| 17 | Aetna aetna hmo facility · percent of total billed charges · inpatientfrom % of charges | $777.00 | $777.00 | $777.00 – $777.00 |
| 18 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · inpatientfrom % of charges | $777.00 | $777.00 | $777.00 – $777.00 |
| 19 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $777.00 | $777.00 | $777.00 – $777.00 |
| 20 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · inpatientfrom % of charges | $777.00 | $777.00 | $777.00 – $777.00 |
| 21 | Clover clover health plan facility · other · outpatient | $777.00 | $777.00 | $777.00 – $777.00 |
| 22 | Highmark highmark medicare advantage facility · other · outpatient | $777.00 | $777.00 | $777.00 – $777.00 |
| 23 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $777.00 | $777.00 | $777.00 – $777.00 |
| 24 | Optum optum urn-transplant commercial facility · other · outpatient | $777.00 | $777.00 | $777.00 – $777.00 |
| 25 | Oscar oscar health plan facility · other · outpatient | $777.00 | $777.00 | $777.00 – $777.00 |
Last updated: Mar 19, 2026
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