Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

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

In Pittsburgh, PA, 13 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $55.20 to $475.82, with a median of $183.60. The lowest listed price is at Monogahela Valley Hospital — $128.40 less than the median here. Across Pennsylvania, the median is $155.60 at 48 hospitals.

Cash prices at 13 facilities across 7 cities for code 99213, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 6, 2026 and Apr 14, 2026.

Lowest$55.20Monogahela Valley Hospital
Median$183.60half pay less
Highest$475.82in this market
Difference8.6×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 Pittsburgh, PA.

median
Lowest $55.20Highest $475.82

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Monogahela Valley Hospital lowest Monongahela, PA · (724) 258-1000 ESTABLISHED PATIENT LEVEL 3 $55.20 $92.00 $41.40 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 EST PT DETAILED OFFICE SVC $81.00 $135.00 $60.75 40% —
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UPMC Mercy Pittsburgh, PA · (412) 232-8111 CLINIC VISIT EST 99213 $141.00 $235.00 $71.91–$211.50 40% —
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UPMC Mercy Pittsburgh, PA · (412) 232-8111 CLINIC VISIT EST PT 99213 $141.00 $235.00 $71.91–$211.50 40% —
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UPMC Western Psychiatric Hospital Pittsburgh, PA CLINIC VISIT EST 99213 $147.60 $246.00 $147.60–$209.10 40% —
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UPMC Western Psychiatric Hospital Pittsburgh, PA CRNP CLINIC VISIT EST 99213 $147.60 $246.00 $147.60–$209.10 40% —
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UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 CLINIC VISIT EST 99213 $147.60 $246.00 $159.90–$209.10 40% Mar 6, 2026
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UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 EST OP VISIT LEVEL 3 $147.60 $246.00 $159.90–$209.10 40% Mar 6, 2026
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UPMC Western Psychiatric Hospital Pittsburgh, PA FOLLOW-UP VISIT - LIMITED O/P $175.80 $293.00 $175.80–$249.05 40% —
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Highlands Hospital Connellsville, PA · (724) 628-1500 .ESTABLISHED PATIENT FOLLOW UP 15 MINS $178.20 $297.00 — 40% —
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UPMC Passavant - McCandless Pittsburgh, PA · (412) 367-6700 HC CLINIC VISIT EST 99213 $179.40 $299.00 $107.64–$278.07 40% —
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UPMC St Margaret Pittsburgh, PA · (412) 784-4000 CLINIC VISIT EST 99213 $183.60 $306.00 $79.87–$260.10 40% —
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UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CLINIC VISIT EST 99213 $183.60 $306.00 $110.16–$281.52 40% —
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UPMC McKeesport McKeesport, PA · (412) 664-2000 CLINIC VISIT EST 99213 $183.60 $306.00 $106.18–$260.10 40% —
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UPMC East Monroeville, PA · (412) 357-3000 CLINIC VISIT EST 99213 $186.60 $311.00 $105.74–$248.80 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 EST PT LOW <15 MIN $190.20 $317.00 $142.65 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 LEVEL III ESTABLISHED PATIENT $190.20 $317.00 $142.65 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 RN VISIT-EST PT MODERATE-15 MN $190.20 $317.00 $142.65 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 EST PT LOW <15 MINUTES $190.20 $317.00 $142.65 40% —
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UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA · (412) 692-5325 CLINIC VISIT EST 99213 $213.00 $355.00 $142.00–$319.50 40% Mar 6, 2026
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UPMC Jameson New Castle, PA · (724) 656-4100 CLINIC VISIT EST 99213 $216.00 $360.00 $270.00–$316.80 40% —
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UPMC Western Psychiatric Hospital Pittsburgh, PA PES BRIEF EST 99213 $426.00 $710.00 $426.00–$603.50 40% —
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AHN Wexford Hospital Wexford, PA · (412) 295-3319 HC ESTAB PT VISIT LEVEL 3 $475.82 $643.00 $36.75–$192.21 26% Apr 14, 2026
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Inpatient: lowest $55.20, median $183.60, highest $475.82 — a 8.6× difference within the same market.

As an outpatient, the same code is billed by 14 facilities here, median $181.50 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 10 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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.