Doctor visits and therapy CPT 99213 Pennsylvania Outpatient

Returning patient visit, 20 min cost in Pennsylvania

In Pennsylvania, 48 hospitals publish a cash price for returning patient office visit, low complexity or 20+ minutes: from $29.91 to $652.54, with a median of $155.60. The lowest price is at St Joseph Regional Health Network (Reading). The highest price is 21.8× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 99213. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$29.91St Joseph Regional Health Network
Median$155.60half pay less
Highest$652.54in Pennsylvania
Lowest saves$125.69vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash price List priceFile date
St Joseph Regional Health Network lowest Reading · Reading, PA WOCN Est Patient Visit Intermediate $29.91 $115.00 —
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UPMC Kane Kane · Bradford, PA KOM FU SIMPLE 15 MIN $45.00 $75.00 —
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AHN Wexford Hospital Wexford · Pittsburgh, PA PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $48.10 $185.00 Apr 14, 2026
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Pennsylvania Psychiatric Institute Harrisburg · Harrisburg-Carlisle, PA 99213 Outpatient Visit Est Lvl 3 BH Tech $51.99 $303.00 —
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Monogahela Valley Hospital Monongahela · Pittsburgh, PA ESTABLISHED PATIENT LEVEL 3 $55.20 $92.00 —
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Punxsutawney Area Hospital Punxsutawney · Punxsutawney, PA OUTPATIENT VISIT EST LEVEL III $55.44 $154.00 Mar 2, 2026
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UPMC Hanover Hanover · York-Hanover, PA HC EHS F/U INTER P/F $61.80 $103.00 —
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UPMC Pinnacle Hospitals Harrisburg · Harrisburg-Carlisle, PA HC EHS F/U INTER P/F $61.80 $103.00 —
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UPMC Somerset Somerset · Somerset, PA HC EHS F/U INTER P/F $61.80 $103.00 —
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Penn State Health Holy Spirit Medical Center Camp Hill · Harrisburg-Carlisle, PA 99213 Outpatient Visit Est Lvl 3 BH Tech $72.39 $303.00 —
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Penn Highlands Brookville Brookville · Brookville, PA RHC WEIGHT MGMT OV PROB EXPANDED ESTAB L3 $73.00 $73.00 Apr 1, 2026
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Penn Highlands Elk Saint Marys · St. Marys, PA RHC WEIGHT MGMT OV PROB EXPANDED ESTAB L3 $73.00 $73.00 Apr 1, 2026
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Penn Highlands Huntingdon Huntingdon · Huntingdon, PA RHC WEIGHT MGMT OV PROB EXPANDED ESTAB L3 $73.00 $73.00 Apr 1, 2026
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Penn Highlands Tyrone Tyrone · Altoona, PA RHC WEIGHT MGMT OV PROB EXPANDED ESTAB L3 $73.00 $73.00 Apr 1, 2026
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UPMC Wellsboro Wellsboro · Wellsboro, PA P CLINIC VISIT EST 99213 $89.40 $149.00 —
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Good Samaritan Hospital Lebanon · Lebanon, PA Lc Est Patient Visit Level 3 $104.00 $130.00 —
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Gettysburg Hospital Gettysburg · Gettysburg, PA Est Outpatient Visit Level 3 or Over 20 Minutes $113.60 $142.00 —
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WellSpan Surgery and Rehabilitation Hospital York · York-Hanover, PA Est Outpatient Visit Level 3 or Over 20 Minutes $113.60 $142.00 —
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UPMC Bedford Everett · Everett, PA CLINIC VISIT EST 99213 $121.20 $202.00 —
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Mercy Fitzgerald Hospital Darby · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PR Visit Office Outpatient Established Low Level $140.00 $140.00 Mar 31, 2026
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Nazareth Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PR Visit Office Outpatient Established Low Level $140.00 $140.00 Mar 31, 2026
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UPMC Mercy Pittsburgh · Pittsburgh, PA CLINIC VISIT EST PT 99213 $141.00 $235.00 —
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UPMC Presbyterian Pittsburgh · Pittsburgh, PA EST OP VISIT LEVEL 3 $147.60 $246.00 Mar 6, 2026
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UPMC Western Psychiatric Hospital Pittsburgh · Pittsburgh, PA CRNP CLINIC VISIT EST 99213 $147.60 $246.00 —
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Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA Office/Outpatient Established Low MD 20-29 Min $154.60 $193.25 —
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UPMC Hamot Erie · Erie, PA CLINIC VISIT EST 99213 $156.60 $261.00 —
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Highlands Hospital Connellsville · Pittsburgh, PA .ESTABLISHED PATIENT FOLLOW UP 15 MINS $178.20 $297.00 —
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UPMC Passavant - McCandless Pittsburgh · Pittsburgh, PA HC CLINIC VISIT EST 99213 $179.40 $299.00 —
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UPMC Cole Coudersport · Coudersport, PA ESTAB PT OFFICE VISIT; LEVEL 3 $183.00 $305.00 —
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UPMC Magee-Womens Hospital Pittsburgh · Pittsburgh, PA HC CLINIC VISIT EST 99213 $183.60 $306.00 —
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UPMC McKeesport McKeesport · Pittsburgh, PA CLINIC VISIT EST 99213 $183.60 $306.00 —
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UPMC St Margaret Pittsburgh · Pittsburgh, PA CLINIC VISIT EST 99213 $183.60 $306.00 —
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Penn Highlands Dubois DuBois · DuBois, PA PC OV PROBLEM EXPANDED ESTAB L3 $186.00 $186.00 Aug 1, 2025
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UPMC East Monroeville · Pittsburgh, PA CLINIC VISIT EST 99213 $186.60 $311.00 —
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UPMC Northwest Seneca · Oil City, PA CLINIC VISIT EST PT 99213 $186.60 $311.00 —
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Uniontown Hospital Uniontown · Pittsburgh, PA OFFICE O/P EST LOW 20 MIN $187.00 $374.00 —
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St Mary Medical Center Langhorne · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PR Visit Office Outpatient Established Low Level $195.00 $195.00 Mar 31, 2026
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UPMC Childrens Hospital of Pittsburgh Pittsburgh · Pittsburgh, PA CLINIC VISIT EST 99213 $213.00 $355.00 Mar 6, 2026
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UPMC Horizon - Greenville Greenville · Hermitage, PA CLINIC VISIT EST 99213 $216.00 $360.00 —
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UPMC Jameson New Castle · Pittsburgh, PA CLINIC VISIT EST 99213 $216.00 $360.00 —
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Evangelical Community Hospital Lewisburg · Lewisburg, PA Maternity Triage 3-5 Hrs $239.20 $299.00 —
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UPMC Williamsport Williamsport · Williamsport, PA CLINIC VISIT EST 99213 $250.80 $418.00 —
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Shriners Childrens - Philadelphia Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $293.10 $293.10 —
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Chambersburg Hospital Chambersburg · Chambersburg, PA Maternity Triage 3-5 Hrs $312.00 $390.00 —
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Ephrata Community Hospital Ephrata · Lancaster, PA Lc Est Patient Visit Level 3 $356.00 $445.00 —
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Robert Packer Hospital Sayre · Sayre, PA Office/Outpatient Visit Est Level III $415.34 $519.17 —
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Troy Community Hospital Troy · Sayre, PA Office/Outpatient Visit Est Level III $415.34 $519.17 —
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Waynesboro Hospital Waynesboro · Chambersburg, PA Est Outpatient Visit Level 3 or Over 20 Minutes $421.60 $527.00 —
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The Children's Hospital of Philadelphia Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB Clinic-Est/Level 3 $652.54 $652.54 —
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Pittsburgh, PA 14 $48.10 $181.50
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 5 $140.00 $195.00
Harrisburg-Carlisle, PA 3 $51.99 $61.80
Sayre, PA 3 $154.60 $415.34
Chambersburg, PA 2 $312.00 $366.80
York-Hanover, PA 2 $61.80 $87.70
Altoona, PA 1 $73.00 $73.00
Brookville, PA 1 $73.00 $73.00
Bradford, PA 1 $45.00 $45.00
Coudersport, PA 1 $183.00 $183.00
DuBois, PA 1 $186.00 $186.00
Everett, PA 1 $121.20 $121.20
Erie, PA 1 $156.60 $156.60
Gettysburg, PA 1 $113.60 $113.60
Hermitage, PA 1 $216.00 $216.00
Huntingdon, PA 1 $73.00 $73.00
Lancaster, PA 1 $356.00 $356.00
Lebanon, PA 1 $104.00 $104.00
Lewisburg, PA 1 $239.20 $239.20
Oil City, PA 1 $186.60 $186.60
Punxsutawney, PA 1 $55.44 $55.44
Reading, PA 1 $29.91 $29.91
Somerset, PA 1 $61.80 $61.80
St. Marys, PA 1 $73.00 $73.00
Wellsboro, PA 1 $89.40 $89.40
Williamsport, PA 1 $250.80 $250.80

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.

Returning patient office visit, low complexity or 20+ minutes in other states

Median cash price across the state's hospitals.