Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

Returning patient visit, 20 min cost in Buffalo, NY — inpatient

In Buffalo-Cheektowaga, NY, 5 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $127.00 to $301.18, with a median of $190.00. The lowest listed price is at Sisters of Charity Hospital — $63.00 less than the median here. Across New York, the median is $152.13 at 59 hospitals.

Cash prices at 5 facilities across 2 cities for code 99213, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Aug 25, 2026.

Lowest$127.00Sisters of Charity Hospital
Median$190.00half pay less
Highest$301.18in this market
Difference2.4×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 Buffalo-Cheektowaga, NY.

median
Lowest $127.00Highest $637.15

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sisters of Charity Hospital lowest Buffalo, NY · (716) 862-1000 Facility Fee - Established Patient - 20 Minutes $127.00 $127.00 $5.05–$276.03 — —
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Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Office/Outpatient Established Low Mdm 20 Min $190.00 $190.00 $5.05–$276.03 — —
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Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Office/Outpatient Established Low Mdm 20 Min $190.00 $190.00 $5.05–$276.03 — —
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Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Office/Outpatient Established Low Mdm 20 Min $190.00 $190.00 $5.05–$276.03 — —
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Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Office/Outpatient Established Low Mdm 20 Min $190.00 $190.00 $5.05–$276.03 — —
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Erie County Medical Center Buffalo, NY · (716) 898-3936 ANNUAL PHYSICAL $219.04 $347.00 $49.33–$312.30 37% Aug 25, 2026
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Erie County Medical Center Buffalo, NY · (716) 898-3936 DOT PHYSICAL $219.04 $347.00 $49.33–$312.30 37% Aug 25, 2026
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Erie County Medical Center Buffalo, NY · (716) 898-3936 OUTPT VIS EST LEVEL 3 20-29MIN $219.04 $347.00 $49.33–$312.30 37% Aug 25, 2026
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Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Facility Fee - Established Patient - 20 Minutes $235.00 $235.00 $5.05–$276.03 — —
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Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Facility Fee - Established Patient - 20 Minutes $235.00 $235.00 $5.05–$276.03 — —
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Roswell Park Cancer Institute Buffalo, NY Follow Up Visit Level 3 Rad $301.18 $301.18 — — Apr 1, 2026
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Roswell Park Cancer Institute Buffalo, NY Revisit Level 3 A $332.04 $332.04 — — Apr 1, 2026
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Roswell Park Cancer Institute Buffalo, NY Post-Operative Visit $332.04 $332.04 — — Apr 1, 2026
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Roswell Park Cancer Institute Buffalo, NY New Patient /Revisit Level 3 Rad $577.92 $577.92 — — Apr 1, 2026
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Roswell Park Cancer Institute Buffalo, NY New Patient /Revisit Level 3 $637.15 $637.15 — — Apr 1, 2026
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Inpatient: lowest $127.00, median $190.00, highest $301.18 — a 2.4× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $190.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 4 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 an office or outpatient visit for a returning patient with low complexity decision making, or at least 20 minutes of total clinician time on the visit date. It is one of the most common visit codes, used for things like a stable chronic condition or an acute problem such as an infection.

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.