Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

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

In Massena-Ogdensburg, NY, 3 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $72.33 to $73.76, with a median of $72.72. The lowest listed price is at Gouverneur Hospital — $0.39 less than the median here. Across New York, the median is $152.13 at 59 hospitals.

Cash prices at 3 facilities across 3 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 Apr 1, 2026.

Lowest$72.33Gouverneur Hospital
Median$72.72half pay less
Highest$73.76in this market
Difference1.0×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 Massena-Ogdensburg, NY.

median
Lowest $72.33Highest $275.29

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gouverneur Hospital lowest Gouverneur, NY · (315) 287-1000 HC BHN E_M EST PATIENT LEVEL 3 $72.33 $111.28 — 35% —
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Gouverneur Hospital lowest Gouverneur, NY · (315) 287-1000 HC OMH E_M MED MANAGEMENT EST PATIENT LEVEL 3 $72.33 $111.28 — 35% —
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Slhs Massena Massena, NY · (315) 769-4234 HC OMH E_M MED MANAGEMENT EST PATIENT LEVEL 3 $72.72 $111.87 — 35% Apr 1, 2026
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Slhs Massena Massena, NY · (315) 769-4234 HC BHN E_M EST PATIENT LEVEL 3 $72.72 $111.87 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OMH E_M MED MANAGEMENT EST PATIENT LEVEL 3 $73.76 $113.47 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC BHN E_M EST PATIENT LEVEL 3 $73.76 $113.47 — 35% Apr 1, 2026
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Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC OFFICE_OUTPATIENT ESTABLISHED LOW MDM 20 MIN $147.64 $227.14 — 35% —
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Slhs Massena Massena, NY · (315) 769-4234 HC OFFICE_OUTPATIENT ESTABLISHED LOW MDM 20 MIN $148.41 $228.33 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OFFICE_OUTPATIENT ESTABLISHED LOW MDM 20 MIN $150.53 $231.59 — 35% Apr 1, 2026
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Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC OMH E_M EST PATIENT LEVEL 3 $193.43 $297.59 — 35% —
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Slhs Massena Massena, NY · (315) 769-4234 HC OMH E_M EST PATIENT LEVEL 3 $194.46 $299.17 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OMH E_M EST PATIENT LEVEL 3 $205.13 $315.58 — 35% Apr 1, 2026
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Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC OASAS HISTORY _ PHYSICAL EST PATIENT LEVEL 3 $259.61 $399.40 — 35% —
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OASAS HISTORY _ PHYSICAL EST PATIENT LEVEL 3 $264.71 $407.25 — 35% Apr 1, 2026
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Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC OASAS MED MANAGEMENT EST PATIENT LEVEL 3 $270.00 $415.38 — 35% —
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Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC OASAS ACUTE MEDICAL EST PATIENT LEVEL 3 $270.00 $415.38 — 35% —
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Slhs Massena Massena, NY · (315) 769-4234 HC OASAS HISTORY _ PHYSICAL EST PATIENT LEVEL 3 $271.41 $417.56 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OASAS ACUTE MEDICAL EST PATIENT LEVEL 3 $275.29 $423.53 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OASAS MED MANAGEMENT EST PATIENT LEVEL 3 $275.29 $423.53 — 35% Apr 1, 2026
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Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC OASAS E_M MED INDUCTION EST PATIENT LEVEL 3 $275.29 $423.53 — 35% Apr 1, 2026
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Inpatient: lowest $72.33, median $72.72, highest $73.76.

As an outpatient, the same code is billed by 3 facilities here, median $72.72 — that is the price to compare if you are not being admitted.

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.