Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

Returning patient visit, 20 min cost in Philadelphia, PA — inpatient

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 10 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $135.00 to $449.10, with a median of $240.45. The lowest listed price is at St. Francis Hospital — $105.45 less than the median here. Across Pennsylvania, the median is $155.60 at 48 hospitals.

Cash prices at 10 facilities across 8 cities for code 99213, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Mar 31, 2026.

Lowest$135.00St. Francis Hospital
Median$240.45half pay less
Highest$449.10in this market
Difference3.3×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $135.00Highest $449.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Francis Hospital lowest Wilmington, DE · (302) 421-4100 PR Visit Office Outpatient Established Low Level $135.00 $135.00 $41.96–$128.25 — Mar 31, 2026
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 PR Visit Office Outpatient Established Low Level $140.00 $140.00 $41.96–$68.69 — Mar 31, 2026
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St Mary Medical Center Langhorne, PA · (215) 750-2003 PR Visit Office Outpatient Established Low Level $140.00 — $35.00–$118.40 — Mar 31, 2026
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 PR Visit Office Outpatient Established Low Level $140.00 $140.00 $3.23–$133.34 — Mar 31, 2026
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Established Office Visit Level Three $144.00 $144.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Established Office Visit Level Three $144.00 $144.00 — — —
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Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 PR Visit Office Outpatient Established Low Level $195.00 $195.00 $35.00–$195.00 — Mar 31, 2026
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Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 OFFICE O/P EST LOW 20 MIN $285.90 $285.90 $2,113.00–$3,895.00 — —
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Inspira Health Center Woodbury Woodbury, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Virtual PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Voice PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Virtual PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Voice PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Virtual PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Voice PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - IOP $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ Voice PHARM MED MGMNT EXTENDED EST PT APN - BWC $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ Virtual PHARM MED MGMNT EXTENDED EST PT APN - OPW $449.10 $449.10 — — Mar 24, 2026
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Inpatient: lowest $135.00, median $240.45, highest $449.10 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 15 facilities here, median $144.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 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 1 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.