Doctor visits and therapy CPT 99212 Outpatient

Returning patient visit, 10 min cost in Providence, RI

In Providence-Warwick, RI-MA, 10 hospitals list a cash price for returning patient office visit, straightforward problem or 10+ minutes: from $67.79 to $238.00, with a median of $202.85. The lowest listed price is at Brown University Health Morton Hospital — $135.06 less than the median here. Across Rhode Island, the median is $220.10 at 6 hospitals.

  • The median here, $202.85, is 89% above the US median of $107.25.
  • That is 1.5× Medicare's 2026 national rate for the same service ($136.02).
  • 5 of 10 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 10 facilities across 7 cities for code 99212, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Jul 24, 2026.

Lowest$67.79Brown University Health Morton Hospital
Median$202.85half of hospitals charge less
Highest$238.00in this market
Difference3.5×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 Providence-Warwick, RI-MA.

median
Lowest $67.79Highest $238.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Brown University Health Morton Hospital lowest Taunton, MA · (508) 828-7000 HC OPD ESTAB PT LEVEL II File of Apr 1, 2026 · source file $67.79 $67.79 — —
Kent County Memorial Hospital Warwick, RI · (401) 737-7010 HC Office Outpatient Visit 10 Minutes File of Feb 28, 2026 · source file $94.85 $271.00 $28.62–$7,263.04 65%
Women and Infants Hospital of Rhode Island Providence, RI · (401) 274-1100 HC Office Outpatient Visit 10 Minutes File of Feb 28, 2026 · source file $94.85 $271.00 $28.62–$249.32 65%
Saint Anne's Hospital Fall River, MA · (508) 674-5600 HC OPD ESTAB PT LEVEL II File of Apr 1, 2026 · source file $117.76 $117.76 — —
South County Health Wakefield, RI · (401) 782-8000 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met o File of Jul 24, 2026 · source file $202.20 $337.00 $106.08 40%
Southcoast Hospitals Group - St. Luke's Hospital St. New Bedford, MA HC PR Office/Outpatient Established Sf Mdm 10-19 Min File of Dec 15, 2025 · source file $203.50 $407.00 $55.68–$411.86 50%
Southcoast Hospitals Group Fall River, MA · (508) 679-3131 HC PR Office/Outpatient Established Sf Mdm 10-19 Min File of Dec 15, 2025 · source file $203.50 $407.00 $55.68–$411.86 50%
Southcoast Hospitals Group - St. Luke's Hospital St. New Bedford, MA HC Office/Outpatient Established Sf Mdm 10-19 Min File of Dec 15, 2025 · source file $215.50 $431.00 $55.68–$411.86 50%
Southcoast Hospitals Group Fall River, MA · (508) 679-3131 HC Office/Outpatient Established Sf Mdm 10-19 Min File of Dec 15, 2025 · source file $215.50 $431.00 $55.68–$411.86 50%
Newport Hospital Newport, RI · (401) 846-6400 HC OPD ESTAB PT LEVEL II File of Apr 1, 2026 · source file $238.00 $238.00 — —
Rhode Island Hospital Providence, RI · (401) 444-4000 HC OPD ESTAB PT LEVEL II File of Apr 1, 2026 · source file $238.00 $238.00 — —
The Miriam Hospital Providence, RI · (401) 793-2500 HC OPD ESTAB PT LEVEL II File of Apr 1, 2026 · source file $238.00 $238.00 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $67.79, median $202.85, highest $238.00 — a 3.5× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $238.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 4 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 returning patient visit, 10 min is, what the price covers and why prices differ: Returning patient visit, 10 min explained.