Returning patient visit, 20 min cost in Cumberland, MD
In Cumberland, MD-WV, 2 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $65.50 to $117.00, with a median of $91.25. The lowest listed price is at Potomac Valley Hospital of WV — $25.75 less than the median here. Across Maryland, the median is $124.46 at 7 hospitals.
Cash prices at 2 facilities across 2 cities for code 99213, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Cumberland, MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Potomac Valley Hospital of WV lowest Keyser, WV · (304) 597-3500 OFFICE O/P EST LOW 20 MIN | $65.50 | $131.00 | — | 50% | — source file |
| UPMC Western Maryland Cumberland, MD · (240) 964-7000 EST PAT LEV-3 (26-45 MIN) | $117.00 | $195.00 | $195.00 | 40% | — source file |
| UPMC Western Maryland Cumberland, MD · (240) 964-7000 LEVEL 3 ESTAB PT (26-45 MIN) | $117.00 | $195.00 | $195.00 | 40% | — source file |
| UPMC Western Maryland Cumberland, MD · (240) 964-7000 ESTAB ANTI-COAG VIS 26-45 MIN | $117.00 | $195.00 | $195.00 | 40% | — source file |
Outpatient: lowest $65.50, median $91.25, highest $117.00 — a 1.8× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $117.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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.