Tynbil: Know the *real* price for healthcare services

Pennsylvania rates for HCPCS 99251

Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 20 minutes are spent at the bedside and on the patient's hospital floor or unit.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $75.86	Professional	$44.67	$44.67	$75.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $95.50	Facility	$56.23	$56.23	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $117.49	Professional	$46.77	$89.13	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $57.54	Professional	$14.13	$26.30	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $63.10	Professional	$33.88	$38.02	$63.10