Returning patient visit, 20 min cost in Portland, ME
In Portland-South Portland, ME, 7 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $42.64 to $198.75, with a median of $78.90. The lowest listed price is at Mercy Hospital — $36.26 less than the median here. Across Maine, the median is $74.20 at 21 hospitals.
Cash prices at 7 facilities across 6 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 Aug 12, 2025 and Apr 29, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-South Portland, ME.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital lowest Portland, ME HC OFFIC/OUTPT VISIT LVL 3 EST | $42.64 | $164.00 | $87.58–$124.97 | 74% | — source file |
| Mercy Hospital lowest Portland, ME ED FU RECHECK VISIT LEVEL 3 | $42.64 | $164.00 | $87.58–$124.97 | 74% | — source file |
| Mercy Hospital lowest Portland, ME ESTB PT LEVEL 3 | $42.64 | $164.00 | $87.58–$124.97 | 74% | — source file |
| Mercy Hospital lowest Portland, ME HC AMWELL EST PT OFF VIS LVL 3 | $42.64 | $164.00 | $87.58–$124.97 | 74% | — source file |
| Mercy Hospital lowest Portland, ME IR VISIT EST PATIENT LEVEL 3 | $42.64 | $164.00 | $87.58–$124.97 | 74% | — source file |
| Mercy Hospital Portland, ME ESTABLISHED PATIENT OV LEVEL 3 | $44.98 | $173.00 | $92.38–$131.83 | 74% | — source file |
| Mercy Hospital Portland, ME OFFICE O/P EST LVL 3 | $44.98 | $173.00 | $92.38–$131.83 | 74% | — source file |
| Mercy Hospital Portland, ME PF OFFIC/OUTPT VISIT LVL 3 EST | $44.98 | $173.00 | $92.38–$131.83 | 74% | — source file |
| York Hospital York, ME · (207) 351-2478 DR EST LEVEL 3 W/FAC 2 EST | $69.60 | $116.00 | — | 40% | — source file |
| York Hospital York, ME · (207) 351-2478 DR EST LEVEL 3 W/FAC | $69.60 | $116.00 | — | 40% | — source file |
| York Hospital York, ME · (207) 351-2478 OFFICE VST EST LEVEL III | $71.40 | $119.00 | — | 40% | — source file |
| Bridgton Hospital Bridgton, ME · (207) 647-6000 HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN - 99213 - 76100008 | $78.00 | $254.06 | $76.22–$230.43 | 69% | Apr 29, 2026 source file |
| MaineHealth Biddeford, ME PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN - WOUND CARE | $78.90 | $78.90 | $62.83–$175.39 | — | Sep 9, 2025 source file |
| Mercy Hospital Portland, ME RH BH OFFICE VISIT LEVEL 3 EST | $87.62 | $337.00 | $179.96–$256.79 | 74% | — source file |
| Mercy Hospital Portland, ME RH OFFICE VISIT LEVEL 3 EST | $87.62 | $337.00 | $179.96–$256.79 | 74% | — source file |
| York Hospital York, ME · (207) 351-2478 ONCOLOGY CLINIC LEVEL III | $91.80 | $153.00 | — | 40% | — source file |
| MaineHealth Portland, ME · (207) 662-0111 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN - AMBULATORY RATE | $91.90 | $91.90 | $62.83–$175.39 | — | Sep 9, 2025 source file |
| York Hospital York, ME · (207) 351-2478 OFFICE VISIT III - CURRENT PT | $109.80 | $183.00 | — | 40% | — source file |
| York Hospital York, ME · (207) 351-2478 WHC DOC OFFICE VST EST LEVEL III | $109.80 | $183.00 | — | 40% | — source file |
| MaineHealth Biddeford, ME PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $127.75 | $127.75 | $62.83–$175.39 | — | Sep 9, 2025 source file |
| MaineHealth Portland, ME · (207) 662-0111 HC OFFICE/OUTPT EST LEV 3 | $129.10 | $129.10 | $94.97–$566.50 | — | Sep 9, 2025 source file |
| MaineHealth Portland, ME · (207) 662-0111 HC OFFICE/OUTPT EST LEV 3 - AMBULATORY RATE | $135.80 | $135.80 | $99.89–$566.50 | — | Sep 9, 2025 source file |
| MaineHealth Portland, ME · (207) 662-0111 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $135.85 | $135.85 | $62.83–$175.39 | — | Sep 9, 2025 source file |
| York Hospital York, ME · (207) 351-2478 WALKIN VST EST LEVEL III | $136.80 | $228.00 | — | 40% | — source file |
| MaineHealth Westbrook, ME HC OFFICE/OUTPT EST LEV 3 | $137.45 | $137.45 | $57.73–$129.20 | — | Aug 12, 2025 source file |
| MaineHealth Westbrook, ME PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN | $164.85 | $164.85 | $62.83–$175.39 | — | Aug 12, 2025 source file |
| York Hospital York, ME · (207) 351-2478 W-EVAL AND MGMT LEVEL III EST PT | $169.80 | $283.00 | — | 40% | — source file |
| York Hospital York, ME · (207) 351-2478 EVAL AND MGMT LEVEL III EST PT | $169.80 | $283.00 | — | 40% | — source file |
| MaineHealth Brunswick, ME · (207) 729-0181 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $198.75 | $198.75 | $55.39–$175.39 | — | Sep 9, 2025 source file |
| MaineHealth Biddeford, ME HC OFFICE/OUTPT EST LEV 3 | $339.80 | $339.80 | $124.73–$566.50 | — | Sep 9, 2025 source file |
| MaineHealth Brunswick, ME · (207) 729-0181 HC OFFICE/OUTPT EST LEV 3 | $352.80 | $352.80 | $125.85–$450.11 | — | Sep 9, 2025 source file |
| York Hospital York, ME · (207) 351-2478 NURSING LEVEL III | $500.40 | $834.00 | — | 40% | — source file |
Outpatient: lowest $42.64, median $78.90, highest $198.75 — a 4.7× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $85.40. 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 4 of 6 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.