Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

Returning patient visit, 20 min cost in St. Louis, MO — inpatient

In St. Louis, MO-IL, 7 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $117.75 to $474.22, with a median of $200.20. The lowest listed price is at Mercy Hospital Lincoln and 1 other hospital — $82.45 less than the median here. Across Missouri, the median is $92.30 at 27 hospitals.

Cash prices at 7 facilities across 7 cities for code 99213, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 16, 2026 and Jun 12, 2026.

Lowest$117.75Mercy Hospital Lincoln + 1 more
Median$200.20half pay less
Highest$474.22in this market
Difference4.0×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 St. Louis, MO-IL.

median
Lowest $117.75Highest $474.22

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital Lincoln lowest Elsberry, MO Office/Outpatient Established Low Mdm 20 Min $117.75 $157.00 $78.50–$141.30 25% Jun 12, 2026
source file
Mercy Hospital Lincoln lowest Elsberry, MO Office/Outpatient Established Low Mdm 20 Min $117.75 $157.00 $78.50–$141.30 25% Jun 12, 2026
source file
Mercy Hospital Lincoln lowest Elsberry, MO Office/Outpatient Established Low Mdm 20 Min $117.75 $157.00 $78.50–$141.30 25% Jun 12, 2026
source file
Mercy Hospitals East Communities lowest Washington, MO Office/Outpatient Established Low Mdm 20 Min $117.75 $157.00 $78.50–$141.30 25% Jun 12, 2026
source file
Mercy Hospital Lincoln lowest Elsberry, MO Office/Outpatient Established Low Mdm 20 Min $117.75 $157.00 $78.50–$141.30 25% Jun 12, 2026
source file
Mercy Hospital Lincoln lowest Elsberry, MO Office/Outpatient Established Low Mdm 20 Min $117.75 $157.00 $78.50–$141.30 25% Jun 12, 2026
source file
Gateway Regional Medical Center Granite City, IL · (618) 798-3000 URGENT CARE LVL 3 EP $169.03 $281.71 $281.71 40% —
source file
Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 Office/Outpatient Visit Level 3 Established (99213) $200.20 $200.20 $44.67 — Apr 24, 2026
source file
Mercy Rehabilitation Hospital South Louis, MO OP VISIT EST PT LEVEL III $230.90 $230.90 $230.90 — Mar 16, 2026
source file
Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 OFFICE O/P EST LOW 20 MIN $255.00 $255.00 $2,557.76–$10,672.23 — —
source file
Mercy Rehabilitation Hospital St. Louis Chesterfield, MO OP VISIT EST PT LEVEL III $474.22 $474.22 $474.22 — Mar 16, 2026
source file

Inpatient: lowest $117.75, median $200.20, highest $474.22 — a 4.0× difference within the same market.

As an outpatient, the same code is billed by 14 facilities here, median $120.08 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 7 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.