Doctor visits and therapy CPT 99212 Inpatient — admitted to hospital

Returning patient visit, 10 min cost in Boston, MA — inpatient

In Boston-Cambridge-Newton, MA-NH, 8 hospitals list a cash price for returning patient office visit, straightforward problem or 10+ minutes as an inpatient: from $36.91 to $275.60, with a median of $108.85. The lowest listed price is at Boston Medical Center Brighton — $71.94 less than the median here. Across Massachusetts, the median is $106.94 at 19 hospitals.

Cash prices at 8 facilities across 5 cities for code 99212, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$36.91Boston Medical Center Brighton
Median$108.85half pay less
Highest$275.60in this market
Difference7.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.

median
Lowest $36.91Highest $275.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boston Medical Center Brighton lowest Boston, MA · (617) 789-3000 HC Office Outpatient Visit 10 Mins Met or Exceeded $36.91 $82.02 $28.71–$475.07 55% —
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Boston Medical Center South Brockton, MA · (508) 427-3000 PR Office Outpatient Visit 10 Mins Met or Exceeded $44.55 $99.00 $32.55–$394.86 55% —
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Boston Medical Center Brighton Boston, MA · (617) 789-3000 PR Office Outpatient Visit 10 Mins Met or Exceeded $44.55 $99.00 $32.90–$475.07 55% —
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Boston Medical Center Boston, MA · (617) 638-8000 PR Office Outpatient Visit 10 Mins Met or Exceeded $44.55 $99.00 $23.27–$512.54 55% —
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Boston Medical Center South Brockton, MA · (508) 427-3000 HC Office Outpatient Visit 10 Mins Met or Exceeded $76.69 $170.43 $30.54–$394.86 55% —
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Boston Medical Center Boston, MA · (617) 638-8000 HC Office Outpatient Visit 10 Mins Met or Exceeded $99.45 $221.00 $23.27–$512.54 55% —
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Boston Medical Center Boston, MA · (617) 638-8000 HC Office Outpatient Visit 10 Minutes $99.45 $221.00 $23.27–$512.54 55% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 Office/Outpatient Established Sf Mdm 10 Min $105.00 $105.00 $9.79–$105.00 — —
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Lowell General Hospital Lowell, MA · (978) 937-6000 HC Office O/P Established Pt Level 2 $112.70 $161.00 $22.70–$161.00 30% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Est Pt Office Level 2 Visit $125.00 $125.00 $19.25–$140.92 — —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Psych Est Patient Office Visit Level 2 $125.00 $125.00 $9.79–$125.00 — —
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Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Office O/P Established Pt Level 2 $135.10 $193.00 $34.89–$530.75 30% —
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Tufts Medical Center Boston, MA · (617) 636-5000 HC Office O/P Established Pt Level 2 $167.30 $239.00 $23.80–$239.00 30% —
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Shriners Childrens - Boston Boston, MA · (617) 722-3000 OFFICE O/P EST SF 10 MIN $275.60 $275.60 $3,895.00 — —
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Inpatient: lowest $36.91, median $108.85, highest $275.60 — a 7.5× difference within the same market.

As an outpatient, the same code is billed by 8 facilities here, median $108.85 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. 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 a short office or outpatient visit for a returning patient, with straightforward decision making or at least 10 minutes of total clinician time on the visit date. It is used for simple issues, such as a quick recheck or a minor complaint.

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.