Doctor visits and therapy CPT 99212 Outpatient

Returning patient visit, 10 min cost in Utica, NY

In Utica-Rome, NY, 3 hospitals list a cash price for returning patient office visit, straightforward problem or 10+ minutes: from $23.22 to $167.54, with a median of $68.40. The lowest listed price is at Little Falls Hospital — $45.18 less than the median here. Across New York, the median is $129.00 at 77 hospitals.

Cash prices at 3 facilities across 3 cities for code 99212, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$23.22Little Falls Hospital
Median$68.40half pay less
Highest$167.54in this market
Difference7.2×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 Utica-Rome, NY.

median
Lowest $23.22Highest $167.54

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 CAH PR Office/Outpatient Established Sf Mdm 10-19 Min $23.22 $86.00 $24.08–$86.00 73% —
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Little Falls Hospital Little Falls, NY · (315) 823-5261 Office/Outpatient Established Sf Mdm 10 Min $46.50 $93.00 $11.36–$93.00 50% —
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Mvhs Utica, NY Office/Outpatient Established Sf Mdm 10 Min $68.40 $114.00 $11.47–$93.04 40% —
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Mvhs Utica, NY Office/Outpatient Established Sf Mdm 10 Min $68.40 $114.00 $11.47–$93.04 40% —
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Established patient level 2 $167.54 $415.00 $33.00 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Office/outpatient visit est $167.54 $415.00 $33.00 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Office/outpatient visit est $167.54 $415.00 $33.00 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Established patient level 2 $167.54 $415.00 $33.00 60% Aug 11, 2026
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Outpatient: lowest $23.22, median $68.40, highest $167.54 — a 7.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $46.50. 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 2 of 3 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 99212 ($104.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Little Falls Hospital Little Falls, NYHC Office O/P Est Visit Sf 10 Min $4.87 file