Price spread for CPT 99213: Hospital pricing ranges from $71 to $451.
What Is a Office Visit (Established Patient)?
CPT 99213 covers an established-patient outpatient office visit with low-complexity medical decision making.
When Is It Ordered?
Doctors commonly order this for routine follow-up, medication checks, and stable chronic condition management.
How Long Does It Take?
20-29 minutes typical.
How to Prepare
Bring medication list and prior records if relevant.
How to Save on a Office Visit 99213
Office visit pricing can vary by practice ownership and facility fees.
- Ask whether the clinic bills a facility fee in addition to the visit code.
- Compare independent practices versus hospital-owned clinics.
- Request the self-pay rate if your deductible is high.
Hospital Prices for CPT 99213
Table below shows a sample of hospitals with reported prices for this procedure.
| Hospital | City | State | Cash Price | Negotiated | Gross Charge |
|---|---|---|---|---|---|
| STATE OF ARKANSAS | LITTLE ROCK | AR | $1 | $1 | $1 |
| BRISTOL HOSPITAL INCORPORATED | BRISTOL | CT | $21 | N/A | $40 |
| OU MEDICINE INC | EDMOND | OK | $21 | $45 | $214 |
| MOUNTAIN RIVER BIRTHING AND SURGERY CENTER LLC | BLACKFOOT | ID | $29 | $55 | $41 |
| AGH LAVEEN LLC | LAVEEN | AZ | N/A | $34 | $275 |
| LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY | ALAMOSA | CO | $34 | $59 | $63 |
| ST LUKES METHODIST HOSPITAL | CEDAR RAPIDS | IA | N/A | N/A | $40 |
| LION STAR NACOGDOCHES HOSPITAL, LLC | NACOGDOCHES | TX | $40 | $23 | $134 |
| PHOENIXVILLE HOSPITAL LLC | PHOENIXVILLE | PA | $43 | $59 | $170 |
| POTTSTOWN HOSPITAL LLC | POTTSTOWN | PA | $43 | $79 | $170 |
| UNIVERSITY OF KENTUCKY | LEXINGTON | KY | $44 | N/A | $44 |
| MORRIS HOSPITAL | MORRIS | IL | $50 | $88 | $185 |
| PUNXSUTAWNEY AREA HOSPITAL INC | PUNXSUTAWNEY | PA | $50 | $80 | N/A |
| SWEDISHAMERICAN HOSPITAL | ROCKFORD | IL | $52 | $116 | $308 |
| HOUSTON HOSPITALS INC | PERRY | GA | N/A | $53 | $209 |
| OCALA BEHAVIORAL HEALTH LLC | OCALA | FL | N/A | $55 | $413 |
| ROSELAND COMMUNITY HOSPITAL ASSOCIATION | CHICAGO | IL | N/A | $60 | $80 |
| MCLAREN BAY SPECIAL CARE | BAY CITY | MI | $62 | $43 | $124 |
| MCLAREN FLINT | FLINT | MI | $62 | $181 | $125 |
| CHARLESTON HOSPITAL, INC. | CHARLESTON | WV | N/A | $63 | N/A |
| HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION | SOUTH CHARLESTON | WV | N/A | $63 | N/A |
| QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL | KAMUELA | HI | $64 | N/A | $213 |
| MCLAREN BAY REGION | BAY CITY | MI | $64 | $43 | $129 |
| MCLAREN MACOMB | MOUNT CLEMENS | MI | $64 | $92 | $129 |
| MISSOURI DELTA MEDICAL CENTER | SIKESTON | MO | $65 | $0 | $260 |
| ANAHEIM GLOBAL MEDICAL CENTER INC | ANAHEIM | CA | $65 | N/A | $327 |
| HOUSTON HOSPITALS INC | WARNER ROBINS | GA | N/A | $66 | $209 |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | WHITEVILLE | NC | $68 | $68 | N/A |
| EAST CARROLL PARISH HOSPITAL | LAKE PROVIDENCE | LA | $68 | $72 | $90 |
| HENRY HEYWOOD MEMORIAL HOSPITAL | GARDNER | MA | $68 | $1,001 | $97 |
| POUDRE VALLEY HEALTH CARE INC | FORT COLLINS | CO | $70 | $60 | $140 |
| MORTON COUNTY HOSPITAL | ELKHART | KS | $70 | N/A | $811 |
| UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER | HOUSTON | TX | N/A | $70 | $182 |
| MCLAREN LAPEER REGION | LAPEER | MI | $73 | $82 | $146 |
| MCLAREN OAKLAND | PONTIAC | MI | $73 | $104 | $146 |
| MCLAREN CENTRAL MICHIGAN | MOUNT PLEASANT | MI | $76 | $131 | $152 |
| COLUMBUS COMMUNITY HOSPITAL | COLUMBUS | TX | $76 | $42 | $76 |
| FAYETTE MEDICAL CENTER | FAYETTE | AL | $76 | $74 | $127 |
| PROFESSIONAL RESOURCES MANAGEMENT PSYCHIATRIC SERVICES, LLC | LUVERNE | AL | $76 | $74 | $127 |
| HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY | WAUSAU | WI | N/A | $77 | $77 |
| TRINITY MEDICAL CENTER | BETTENDORF | IA | N/A | N/A | $79 |
| MIAMI JEWISH HEALTH SYSTEMS INC | MIAMI | FL | $82 | $28 | $115 |
| CENTRAL IOWA HOSPITAL CORPORATION | DES MOINES | IA | N/A | N/A | $83 |
| ROCKCASTLE COUNTY HOSPITAL, INC. | MOUNT VERNON | KY | $86 | $59 | $113 |
| STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | GRENADA | MS | $87 | $118 | $281 |
| WASHINGTON HOSPITAL CENTER CORPORATION | WASHINGTON | DC | $89 | N/A | $162 |
| MCLAREN GREATER LANSING | LANSING | MI | $89 | $69 | $179 |
| ARBOUR INC | BOSTON | MA | $90 | $13 | $90 |
| AIKEN REGIONAL MEDICAL CENTERS LLC | AIKEN | SC | $92 | $33 | $229 |
| SUSAN B ALLEN MEMORIAL HOSPITAL | EL DORADO | KS | $93 | $104 | $155 |
| HOWARD COUNTY GENERAL HOSPITAL, INC, | COLUMBIA | MD | $93 | N/A | $93 |
| DESOTO COUNTY HOSPITAL DISTRICT | ARCADIA | FL | $93 | $41 | $154 |
| UNIVERSITY OF MIAMI HOSPITAL AND CLINICS | MIAMI | FL | $93 | $41 | $154 |
| PORTLAND ADVENTIST MEDICAL CENTER | PORTLAND | OR | $94 | $161 | $295 |
| REDLANDS COMMUNITY HOSPITAL | REDLANDS | CA | $95 | $93 | $396 |
| LHCG-X, LLC | WEST MONROE | LA | N/A | N/A | $96 |
| LHCG-XII, LLC | LAFAYETTE | LA | N/A | N/A | $96 |
| LLC-I, LLC | NATCHITOCHES | LA | N/A | N/A | $96 |
| LLC-II, LLC | OPELOUSAS | LA | N/A | N/A | $96 |
| BANNER HEALTH | FORT COLLINS | CO | N/A | $97 | $166 |
| DIGNITY HEALTH | SANTA MARIA | CA | N/A | $97 | $166 |
| PROSPECT ROCKVILLE HOSPITAL INC | VERNON | CT | N/A | $97 | $166 |
| COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC | ANDERSON | IN | $98 | N/A | $244 |
| KENTUCKY HOSPITAL, LLC | WINCHESTER | KY | $98 | $65 | $98 |
| BBH CBMC, LLC | TALLADEGA | AL | $99 | $44 | $198 |
| ST. ANTHONYS HOSPITAL, INC. | SAINT PETERSBURG | FL | N/A | N/A | $100 |
| HEALTHSOURCE SAGINAW INC | SAGINAW | MI | $101 | $101 | $101 |
| PALMS WEST HOSPITAL LIMITED PARTNERSHIP | LOXAHATCHEE | FL | $103 | N/A | $74 |
| BBH BMC LLC | BIRMINGHAM | AL | $105 | $99 | $550 |
| DIGNITY COMMUNITY CARE | GLENDALE | CA | $105 | $94 | $550 |
| ELADH LP | LOS ANGELES | CA | $105 | $99 | $550 |
| HC PARTNERSHIP | BIRMINGHAM | AL | $105 | $99 | $550 |
| HOSPITAL OF BARSTOW INC | BARSTOW | CA | $105 | $94 | $550 |
| KAISER FOUNDATION HOSPITALS | MANTECA | CA | $105 | $99 | $550 |
| PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC | GARDEN GROVE | CA | $105 | $99 | $550 |
State-by-State Pricing for Office Visit 99213
Explore where hospitals in each state report prices for CPT 99213.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Frequently Asked Questions
How much does a Office Visit 99213 cost without insurance?
Based on published hospital data, Office Visit 99213 prices typically range from $71 to $451. Always ask for the self-pay or cash rate before scheduling.
Why do Office Visit 99213 prices vary so much by hospital?
Hospitals negotiate different payer contracts, apply different facility fees, and use different chargemaster pricing strategies. That creates large price gaps for the same CPT code.
What does Medicare pay for CPT 99213?
A national Medicare rate is not available in this dataset for CPT 99213.
How can I lower my Office Visit 99213 bill?
Compare multiple facilities, ask for the cash price up front, and request a written estimate with all facility and professional fees.
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