Doctor visits and therapy CPT 99213 Outpatient

Returning patient visit, 20 min cost in Oshkosh, WI

In Oshkosh-Neenah, WI, 5 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $135.09 to $230.00, with a median of $164.36. The lowest listed price is at Ascension NE Wisconsin — $29.27 less than the median here. Across Wisconsin, the median is $157.95 at 81 hospitals.

Cash prices at 5 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 Nov 21, 2025 and Mar 24, 2026.

Lowest$135.09Ascension NE Wisconsin
Median$164.36half pay less
Highest$230.00in this market
Difference1.7×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 Oshkosh-Neenah, WI.

median
Lowest $135.09Highest $230.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension NE Wisconsin lowest Oshkosh, WI HC PRO OFFICE O/P EST LOW 20 MIN OR > $135.09 $237.00 $69.68–$163.26 43% —
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ThedaCare Regional Medical Center-Neenah Neenah, WI · (920) 729-3100 OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $164.36 $293.50 $64.08–$272.96 44% —
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ThedaCare Regional Medical Center-Appleton Oshkosh, WI OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $164.36 $293.50 $64.08–$272.96 44% —
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ThedaCare Regional Medical Center-Neenah Neenah, WI · (920) 729-3100 HC EST PT LEVEL 3 $175.56 $313.50 $94.05–$236.38 44% —
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ThedaCare Regional Medical Center-Appleton Oshkosh, WI HC Est Pt Level 3 $175.56 $313.50 $94.05–$230.74 44% —
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ThedaCare Regional Medical Center-Appleton Oshkosh, WI HC EST PT LEVEL 3 $175.56 $313.50 $94.05–$230.74 44% —
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ThedaCare Regional Medical Center-Neenah Neenah, WI · (920) 729-3100 HC Est Pt Level 3 $175.56 $313.50 $94.05–$236.38 44% —
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Ascension NE Wisconsin Oshkosh, WI HC OFFICE/OUTPATIENT VISIT EST LEV 3 $191.52 $336.00 $69.68–$163.26 43% —
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Ascension NE Wisconsin Oshkosh, WI HC URGENT CARE LEVEL 3 $210.33 $369.00 $69.68–$163.26 43% —
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Children's Hospital of Wisconsin Neenah, WI · (920) 969-7900 OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $212.85 $387.00 $60.42–$367.65 45% Mar 24, 2026
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Children's Hospital of Wisconsin Neenah, WI · (920) 969-7900 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $212.85 $387.00 $60.42–$367.65 45% Mar 24, 2026
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Aurora Medical Center Oshkosh Oshkosh, WI · (920) 456-6000 OP SERV MOD ACUITY-EST PT $230.00 $460.00 $65.00–$391.00 50% Nov 21, 2025
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Outpatient: lowest $135.09, median $164.36, highest $230.00 — a 1.7× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $230.00. 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 5 of 5 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.