Doctor visits and therapy CPT 99213 Outpatient

Returning patient visit, 20 min cost in San Jose, CA

In San Jose-Sunnyvale-Santa Clara, CA, 3 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $60.50 to $181.50, with a median of $75.00. The lowest listed price is at Lucile Salter Packard Children's Hospital at Stanford — $14.50 less than the median here. Across California, the median is $159.74 at 30 hospitals.

Cash prices at 3 facilities across 3 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 Mar 31, 2026 and Apr 1, 2026.

Lowest$60.50Lucile Salter Packard Children's Hospital at Stanford
Median$75.00half pay less
Highest$181.50in this market
Difference3.0×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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $60.50Highest $341.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Lucile Salter Packard Children's Hospital at Stanford lowest Palo Alto, CA · (650) 497-8000 HC Clinic Use Lvl 3 Estab Pt $60.50 $121.00 $51.06–$62.92 50% Mar 31, 2026
source file
El Camino Hospital Mountain View, CA · (650) 940-7000 HC E&M, EST PT, LOW, 20-29 MIN $75.00 $300.00 — 75% Apr 1, 2026
source file
Stanford Health Care Stanford, CA · (650) 723-4000 Eval/Mgmt of Est Patient Level 3 $181.50 $363.00 $84.00–$345.83 50% Apr 1, 2026
source file
Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC E&M Level 3 Estab Patient $311.50 $623.00 $262.91–$323.96 50% Mar 31, 2026
source file
Stanford Health Care Stanford, CA · (650) 723-4000 Eval/Mgmt of Est Patient Level 3 $341.00 $682.00 $84.00–$345.83 50% Apr 1, 2026
source file

Outpatient: lowest $60.50, median $75.00, highest $181.50 — a 3.0× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $208.00. 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 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 none is it 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.