Returning patient visit, 20 min cost in New York, NY
In New York-Newark-Jersey City, NY-NJ, 31 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $15.20 to $644.21, with a median of $325.00. The lowest listed price is at Englewood Health — $309.80 less than the median here. Across New York, the median is $152.13 at 59 hospitals.
Cash prices at 31 facilities across 24 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 Oct 28, 2025 and Apr 1, 2026.
Lowest$15.20Englewood Health
Median$325.00half pay less
Highest$644.21in this market
Difference42.4×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 New York-Newark-Jersey City, NY-NJ.
median
Lowest $15.20Highest $720.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Englewood Health lowest Englewood, NJ · (201) 894-3000 Osns-Est Pt Vsit Basic99213 | $15.20 | $152.00 | $11.11–$152.00 | 90% | Feb 2, 2026 source file |
| NYU Langone Brooklyn, NY HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Mineola, NY HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| St. Barnabas Hospital Bronx, NY · (212) 960-9000 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $73.60 | $269.26 | $51.16–$164.45 | 73% | Feb 27, 2026 source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Non-Gold Eval & Careplan | $77.82 | $484.00 | — | 84% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Eval Nonlabor Up to 2 Hr | $77.82 | $1,045.00 | — | 93% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Nonlabor Up to 2 Hr | $77.82 | $171.00 | — | 54% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 E&M Est Patient Level 3 | $77.82 | $517.00 | — | 85% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp | $77.82 | $812.00 | — | 90% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 E&M Est Patient Level 3 | $77.82 | $187.52 | — | 59% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp | $77.82 | $171.00 | — | 54% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Nonlabor Up to 2 Hr | $77.82 | $171.00 | — | 54% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 E&M Est Patient Level 3 | $77.82 | $171.00 | — | 54% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp | $77.82 | $171.00 | — | 54% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 E&M Est Patient Level 3 | $77.82 | $189.62 | — | 59% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Bh E&M Est Patient Level 3 | $77.82 | $447.00 | — | 83% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 E&M Est Patient Level 3 | $77.82 | $517.00 | — | 85% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Nonlabor Up to 2 Hr | $77.82 | $1,087.00 | — | 93% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Non-Gold Eval & Careplan | $77.82 | $331.00 | — | 76% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 E&M Est Patient Level 3 | $77.82 | $816.72 | — | 90% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp | $77.82 | $800.00 | — | 90% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Bh Med Mgmt OP Est 15 Min | $77.82 | $447.00 | — | 83% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Adjust Lap Band Visit | $77.82 | $2,816.00 | — | 97% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Bh E&M Est Patient Level 3 | $77.82 | $447.00 | — | 83% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 E&M Est Patient Level 3 | $77.82 | $800.00 | — | 90% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Nonlabor Up to 2 Hr | $77.82 | $1,087.00 | — | 93% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Non-Gold Eval & Careplan | $77.82 | $331.00 | — | 76% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 E&M Est Patient Level 3 | $77.82 | $747.48 | — | 90% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp | $77.82 | $1,014.00 | — | 92% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Bh Med Mgmt OP Est 15 Min | $77.82 | $447.00 | — | 83% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Adjust Lap Band Visit | $77.82 | $1,014.00 | — | 92% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Bh E&M Est Patient Level 3 | $77.82 | $447.00 | — | 83% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 E&M Est Patient Level 3 | $77.82 | $726.00 | — | 89% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Nonlabor Up to 2 Hr | $77.82 | $1,065.00 | — | 93% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Non-Gold Eval & Careplan | $77.82 | $331.00 | — | 76% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 E&M Est Patient Level 3 | $77.82 | $500.00 | — | 84% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Bh E&M Est Patient Level 3 | $77.82 | $447.00 | — | 83% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Adjust Lap Band Visit | $77.82 | $1,019.00 | — | 92% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Bh Med Mgmt OP Est 15 Min | $77.82 | $447.00 | — | 83% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp | $77.82 | $1,022.00 | — | 92% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 E&M Est Patient Level 3 | $77.82 | $529.03 | — | 85% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Bh Med Mgmt OP Est 15 Min | $77.82 | $447.00 | — | 83% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Adjust Lap Band Visit | $77.82 | $1,408.00 | — | 94% | — source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Office Visit/Consultation | $88.74 | $126.77 | $57.05–$220.00 | 30% | Oct 28, 2025 source file |
| NYU Langone New York, NY · (212) 263-7300 HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Mineola, NY HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Brooklyn, NY HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Office Outpatient Visit Est Lev 3 | $102.10 | $1,021.00 | $74.64–$1,021.00 | 90% | Feb 2, 2026 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Hyperbaric Wound Care-Debride | $157.76 | $225.36 | $101.41–$3,498.00 | 30% | Oct 28, 2025 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 OFFICE O/P EST LOW 20-29 MIN | $185.00 | $185.00 | — | — | Apr 1, 2026 source file |
| Stony Brook Southampton Hospital Southampton, NY ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $226.41 | $226.41 | $64.89–$84.36 | — | — source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 OFFICE O/P EST LOW 20 MIN | $242.20 | $346.00 | $21.76–$80.40 | 30% | Oct 28, 2025 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Office/Outpatient Visit Est | $243.70 | $348.14 | $144.87–$348.14 | 30% | Oct 28, 2025 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Psych Off/Op Est Low 20 Min | $243.70 | $348.14 | $87.04–$261.11 | 30% | Oct 28, 2025 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Office O/P Est Low Mdm 20 Min | $243.70 | $348.14 | $144.87–$348.14 | 30% | Oct 28, 2025 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Extended Visit - Re-Visit | $243.70 | $348.14 | $144.87–$348.14 | 30% | Oct 28, 2025 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Rehab - Off O/P Est Low 20 Min | $243.70 | $348.14 | $144.87–$348.14 | 30% | Oct 28, 2025 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Outpatient Visit- Est 15 Tele | $243.70 | $348.14 | $144.87–$348.14 | 30% | Oct 28, 2025 source file |
| NYU Langone New York, NY · (212) 263-7300 HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Brooklyn, NY HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone Mineola, NY HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | 81% | Jan 1, 2026 source file |
| Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 OFFICE O/P EST LOW 20 MIN | $300.00 | $300.00 | $35.00–$1,912.00 | — | — source file |
| St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 OFFICE O/P EST LOW 20 MIN | $325.00 | $325.00 | $52.76–$210.00 | — | — source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Office/Outpt Visit Est Lvl 3 | $331.80 | $474.00 | $144.87–$474.00 | 30% | Oct 28, 2025 source file |
| Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $360.63 | $360.63 | $117.20–$680.51 | — | Jan 19, 2026 source file |
| Helen Hayes Hospital West Haverstraw, NY · (845) 786-4000 OP VISIT ESTABLISHED 15-MIN | $366.00 | $366.00 | $21.54–$274.50 | — | — source file |
| Helen Hayes Hospital West Haverstraw, NY · (845) 786-4000 EST PT INTERMED VS | $366.00 | $366.00 | $45.09–$284.00 | — | — source file |
| Helen Hayes Hospital West Haverstraw, NY · (845) 786-4000 EST PT INTERMED VISIT | $366.00 | $366.00 | $21.54–$284.00 | — | — source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 EP LEVEL 3 WITH MODIFIER 25 | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 EP - LEVEL 3 | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 EP LEVEL 3 | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 NSG HX/ASSESSMENT (EXTENDED) | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 EP LEVEL III | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 OFFICE O/P EST LOW 20 MIN | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 ESTABLISHED PT LEVEL 3 | $413.00 | $413.00 | — | — | Apr 1, 2026 source file |
| Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 OFFICE O/P EST LOW 20 MIN | $416.00 | $416.00 | $64.89–$4,255.00 | — | — source file |
| Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $430.00 | $430.00 | $35.00–$1,912.00 | — | — source file |
| Memorial Hospital for Cancer and Allied Diseases New York, NY Office/Outpatient Established Low Mdm 20 Min | $460.00 | $460.00 | $71.64–$447.15 | — | Dec 1, 2025 source file |
| Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ Office/Outpatient Established Low Mdm 20 Min | $460.00 | $460.00 | $71.64–$447.15 | — | Dec 1, 2025 source file |
| Memorial Hospital for Cancer and Allied Diseases West Harrison, NY Office/Outpatient Established Low Mdm 20 Min | $460.00 | $460.00 | $71.64–$447.15 | — | Dec 1, 2025 source file |
| Memorial Hospital for Cancer and Allied Diseases Middletown, NJ Office/Outpatient Established Low Mdm 20 Min | $460.00 | $460.00 | $71.64–$447.15 | — | Dec 1, 2025 source file |
| Stony Brook Southampton Hospital Southampton, NY OFFICE O/P EST LOW 20 MIN | $464.80 | $464.80 | $64.89–$84.36 | — | — source file |
| St Johns Riverside Hospital Park Care Pavillion Yonkers, NY OFFICE O/P EST LOW 20 MIN | $483.65 | $569.00 | $55.16–$3,783.00 | 15% | — source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Office Visit Est Detailed Low | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Office Visit Est Pat- Expanded Prob Focus-Lvl3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Est Patient E/M Visit Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Office Visit Estb Detailed Lo | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Psych Assess Est Pt Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Office Visit Est Expanded | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Office Visit Est Detailed Low | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Office Visit Est Pat- Expanded Prob Focus-Lvl3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Est Patient E/M Visit Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Office Visit Estb Detailed Lo | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Office Visit Est Expanded | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Psych Assess Est Pt Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Office Visit Est Expanded | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Office Visit Est Detailed Low | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Office Visit Est Pat- Expanded Prob Focus-Lvl3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Est Patient E/M Visit Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Office Visit Estb Detailed Lo | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Psych Assess Est Pt Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Office Visit Estb Detailed Lo | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Est Patient E/M Visit Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Office Visit Est Pat- Expanded Prob Focus-Lvl3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Office Visit Est Detailed Low | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Office Visit Est Expanded | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Psych Assess Est Pt Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Office Visit Est Expanded | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Office Visit Est Detailed Low | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Office Visit Est Pat- Expanded Prob Focus-Lvl3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Est Patient E/M Visit Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Office Visit Estb Detailed Lo | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Psych Assess Est Pt Lvl 3 | $504.00 | $560.00 | — | 10% | Apr 1, 2026 source file |
| Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $520.00 | $520.00 | $64.89–$4,255.00 | — | — source file |
| Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 OFFICE O/P EST LOW 20 MIN | $644.21 | $644.21 | $51.02–$926.00 | — | — source file |
| Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $683.82 | $683.82 | $51.02–$926.00 | — | — source file |
| Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $720.00 | $720.00 | $35.00–$1,912.00 | — | — source file |
Outpatient: lowest $15.20, median $325.00, highest $644.21 — a 42.4× difference within the same market.
As an inpatient, the same code is billed by 23 facilities here, median $88.74. 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 13 of 20 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 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 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.