Doctor visits and therapy CPT 99213 Outpatient

Returning patient visit, 20 min cost in Chambersburg, PA

In Chambersburg, PA, 2 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $312.00 to $421.60, with a median of $366.80. The lowest listed price is at Chambersburg Hospital — $54.80 less than the median here. Across Pennsylvania, the median is $155.60 at 48 hospitals.

Cash prices at 2 facilities across 2 cities for code 99213, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$312.00Chambersburg Hospital
Median$366.80half pay less
Highest$421.60in this market
Difference1.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Chambersburg, PA.

median
Lowest $312.00Highest $421.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Chambersburg Hospital lowest Chambersburg, PA · (717) 267-3000 Maternity Triage 3-5 Hrs $312.00 $390.00 $50.00–$370.50 20% —
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Waynesboro Hospital Waynesboro, PA · (717) 765-4000 Est Outpatient Visit Level 3 or Over 20 Minutes $421.60 $527.00 $42.00–$527.34 20% —
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Chambersburg Hospital Chambersburg, PA · (717) 267-3000 Est Outpatient Visit Level 3 or Over 20 Minutes $421.60 $527.00 $50.00–$592.69 20% —
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Outpatient: lowest $312.00, median $366.80, highest $421.60 — a 1.4× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $366.80. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is an office or outpatient visit for a returning patient with low complexity decision making, or at least 20 minutes of total clinician time on the visit date. It is one of the most common visit codes, used for things like a stable chronic condition or an acute problem such as an infection.

What the price covers

The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.