Doctor visits and therapy CPT 99212 Inpatient — admitted to hospital

Returning patient visit, 10 min cost in Utica, NY — inpatient

In Utica-Rome, NY, 3 hospitals list a cash price for returning patient office visit, straightforward problem or 10+ minutes as an inpatient: from $23.40 to $167.54, with a median of $46.50. The lowest listed price is at Mvhs — $23.10 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 inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$23.40Mvhs
Median$46.50half 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 $23.40Highest $167.54

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mvhs lowest Utica, NY Office/Outpatient Established Sf Mdm 10 Min $23.40 $39.00 $11.47–$93.04 40% —
source file
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% —
source file
Mvhs Utica, NY Office/Outpatient Established Sf Mdm 10 Min $68.40 $114.00 $11.47–$93.04 40% —
source file
Rome Memorial Hospital Rome, NY · (315) 338-7000 Office/outpatient visit est $167.54 $415.00 $33.00 60% Aug 11, 2026
source file
Rome Memorial Hospital Rome, NY · (315) 338-7000 Office/outpatient visit est $167.54 $415.00 $33.00 60% Aug 11, 2026
source file
Rome Memorial Hospital Rome, NY · (315) 338-7000 Established patient level 2 $167.54 $415.00 $33.00 60% Aug 11, 2026
source file
Rome Memorial Hospital Rome, NY · (315) 338-7000 Established patient level 2 $167.54 $415.00 $33.00 60% Aug 11, 2026
source file

Inpatient: lowest $23.40, median $46.50, highest $167.54 — a 7.2× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $68.40 — that is the price to compare if you are not being admitted.

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 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 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.