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Procedure price report · Consultation, evaluation, and preventative care

Office visit, established patient, high complexity

CPT 99215the billing code this page is about

An office or outpatient visit for a patient already seen by the practice, at a high level of complexity, typically about 40 to 54 minutes of the clinician's time on that day.

Hospitals typically charge $206 cash for this outpatient procedure — the median across 2,693 hospitals that filed a usable cash price; the average of the middle 60% is $219. Most fall between $109 and $385 (20th–80th percentile).

Hospitals
2,693
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,693 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$77$126$206$343$573

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($77 vs $573).

How the prices are spread

$55 – $73: 107 hospitals$55$73 – $96: 186 hospitals$96 – $127: 252 hospitals$96$127 – $168: 362 hospitals$168 – $222: 432 hospitals$168$222 – $294: 339 hospitals$294 – $389: 352 hospitals$294$389 – $514: 218 hospitals$514 – $680: 113 hospitals$514$680 – $900: 68 hospitals$680median $206price bands are equal on a log scale
Hospitals per price band (2,429 of 2,693 — the bands cover the 5th to 95th percentile)
FromToHospitals
$55$73107
$73$96186
$96$127252
$127$168362
$168$222432
$222$294339
$294$389352
$389$514218
$514$680113
$680$90068

By state

The median cash price in each state, against the national median of $206.

Alaska: median $401 across 16 hospitalsAK$401Maine: median $103 across 26 hospitalsME$103Vermont: median $232 across 13 hospitalsVT$232New Hampshire: median $140 across 23 hospitalsNH$140Washington: median $217 across 60 hospitalsWA$217Idaho: median $300 across 20 hospitalsID$300Montana: median $200 across 26 hospitalsMT$200North Dakota: median $360 across 25 hospitalsND$360Minnesota: median $171 across 106 hospitalsMN$171Illinois: median $247 across 120 hospitalsIL$247Wisconsin: median $235 across 105 hospitalsWI$235Michigan: median $118 across 67 hospitalsMI$118New York: median $239 across 105 hospitalsNY$239Massachusetts: median $294 across 54 hospitalsMA$294Oregon: median $218 across 53 hospitalsOR$218Nevada: median $256 across 18 hospitalsNV$256Wyoming: median $242 across 13 hospitalsWY$242South Dakota: median $242 across 31 hospitalsSD$242Iowa: median $214 across 93 hospitalsIA$214Indiana: median $98 across 82 hospitalsIN$98Ohio: median $164 across 98 hospitalsOH$164Pennsylvania: median $206 across 98 hospitalsPA$206New Jersey: median $170 across 35 hospitalsNJ$170Connecticut: median $306 across 23 hospitalsCT$306Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $248 across 108 hospitalsCA$248Utah: median $295 across 36 hospitalsUT$295Colorado: median $223 across 41 hospitalsCO$223Nebraska: median $234 across 76 hospitalsNE$234Missouri: median $184 across 62 hospitalsMO$184Kentucky: median $168 across 49 hospitalsKY$168West Virginia: median $122 across 37 hospitalsWV$122Virginia: median $245 across 47 hospitalsVA$245Maryland: median $281 across 41 hospitalsMD$281Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $255 across 42 hospitalsAZ$255New Mexico: median $263 across 13 hospitalsNM$263Kansas: median $160 across 81 hospitalsKS$160Arkansas: median $140 across 28 hospitalsAR$140Tennessee: median $86 across 57 hospitalsTN$86North Carolina: median $232 across 53 hospitalsNC$232South Carolina: median $194 across 51 hospitalsSC$194Oklahoma: median $148 across 58 hospitalsOK$148Louisiana: median $93 across 37 hospitalsLA$93Mississippi: median $123 across 48 hospitalsMS$123Alabama: median $171 across 28 hospitalsAL$171Georgia: median $212 across 88 hospitalsGA$212Hawaii: median $298 across 15 hospitalsHI$298Texas: median $246 across 154 hospitalsTX$246Florida: median $517 across 118 hospitalsFL$517
Cash price by state, most expensive first. National median $206. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL118$517+151%$195 – $1,227
Alaska AK16$401+95%$267 – $596
North Dakota ND25$360+75%$138 – $412
Connecticut CT23$306+49%$189 – $355
Idaho ID20$300+46%$120 – $386
Hawaii HI15$298+45%$130 – $443
Utah UT36$295+43%$251 – $547
Massachusetts MA54$294+43%$186 – $414
Maryland MD41$281+37%$180 – $368
New Mexico NM13$263+28%$213 – $390
Nevada NV18$256+25%$200 – $819
Arizona AZ42$255+24%$124 – $479
California CA108$248+20%$115 – $494
Illinois IL120$247+20%$145 – $398
Texas TX154$246+19%$149 – $450
Virginia VA47$245+19%$137 – $402
South Dakota SD31$242+18%$133 – $469
Wyoming WY13$242+18%$120 – $298
New York NY105$239+16%$119 – $444
Wisconsin WI105$235+14%$144 – $334
Nebraska NE76$234+14%$127 – $346
Vermont VT13$232+13%$120 – $402
North Carolina NC53$232+13%$107 – $370
Colorado CO41$223+8%$140 – $589
Oregon OR53$218+6%$139 – $412
Washington WA60$217+5%$131 – $318
Iowa IA93$214+4%$85 – $306
Georgia GA88$212+3%$130 – $431
Pennsylvania PA98$2060%$120 – $378
Montana MT26$200−3%$89 – $325
South Carolina SC51$194−6%$90 – $495
Missouri MO62$184−10%$113 – $305
Alabama AL28$171−17%$100 – $569
Minnesota MN106$171−17%$104 – $309
New Jersey NJ35$170−17%$125 – $606
Kentucky KY49$168−18%$92 – $305
Ohio OH98$164−20%$120 – $245
Kansas KS81$160−22%$105 – $250
Oklahoma OK58$148−28%$96 – $243
Arkansas AR28$140−32%$96 – $202
New Hampshire NH23$140−32%$55 – $651
Mississippi MS48$123−40%$87 – $189
West Virginia WV37$122−40%$65 – $153
Michigan MI67$118−43%$89 – $192
Maine ME26$103−50%$60 – $309
Indiana IN82$98−52%$67 – $239
Louisiana LA37$93−55%$51 – $197
Tennessee TN57$86−58%$46 – $400
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $206.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,769$212$115 – $431
Children’s60$295$144 – $419
Critical access859$188$98 – $315
Ownership
For-profit294$374$155 – $1,000
Government548$180$101 – $302
Non-profit1,846$204$109 – $361
System affiliation
Part of a system2,154$208$111 – $399
Independent539$190$103 – $334

Cash price vs list price

Median list price (chargemaster)$339
Median cash price$206
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,743 hospitals filed a usable inpatient cash price for this code. The median is $208 and the average of the middle 60% is $223; most fall between $116 and $376.

Cash price percentiles, inpatient, across 1,743 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$81$134$208$339$530

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($81 vs $530).

Of the 1,869 hospitals that filed this code inpatient, 1,743 gave a usable cash price; 21 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 103 a list price only.

How complete is this

2,693 of the 3,956 hospitals with a price file in our corpus (68%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,907 hospitals that filed this code at all gave us
Usable cash price — counted2,693
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded166
Hospitals that filed this code2,907

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Office/Outpatient Established High Mdm 40 Min.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Office visit, established patient, high complexity (CPT 99215) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99215-office-visit-established-patient-high-complexity