Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

Returning patient visit, 20 min cost in Racine, WI — inpatient

In Racine-Mount Pleasant, WI, 2 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $140.00 to $170.00, with a median of $155.00. The lowest listed price is at Aurora Medical Center Burlington — $15.00 less than the median here. Across Wisconsin, the median is $157.95 at 81 hospitals.

Cash prices at 2 facilities across 2 cities for code 99213, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Nov 21, 2025.

Lowest$140.00Aurora Medical Center Burlington
Median$155.00half pay less
Highest$170.00in this market
Difference1.2×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 Racine-Mount Pleasant, WI.

median
Lowest $140.00Highest $170.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aurora Medical Center Burlington lowest Burlington, WI · (262) 767-6545 OP SERV MOD ACUITY-EST PT $140.00 $280.00 $168.00–$238.00 50% Nov 21, 2025
source file
Aurora Medical Center Mount Pleasant Mount Pleasant, WI OP SERV MOD ACUITY-EST PT $170.00 $340.00 $204.00–$289.00 50% Nov 21, 2025
source file

Inpatient: lowest $140.00, median $155.00, highest $170.00 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $155.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.