Doctor visits and therapy CPT 99205 Inpatient — admitted to hospital

New patient visit, 60 min cost in Flora, IL — inpatient

In Flora, IL, 1 hospital lists a cash price for new patient office visit, about 60 minutes as an inpatient: from $495.00 to $495.00, with a median of $495.00. Across Illinois, the median is $376.05 at 72 hospitals.

Cash prices at 1 facility for code 99205, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between May 7, 2026 and May 7, 2026.

Lowest$495.00County of Clay
Median$495.00half pay less
Highest$495.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
County of Clay Flora, IL · (618) 662-2131 HC FACLTY OP NEW LEVEL 5 $495.00 $495.00 $306.90–$470.25 — May 7, 2026
source file

Inpatient: lowest $495.00, median $495.00, highest $495.00.

As an outpatient, the same code is billed by 1 facility here, median $495.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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 the highest-level office or outpatient visit for a new patient, with high complexity decision making or at least 60 minutes of total time on the visit date. It is used for serious or complicated problems.

What the price covers

The price covers the clinician's visit. Tests, procedures and any hospital facility fee are billed separately; very long visits can add a prolonged-service code.