Doctor visits and therapy CPT 99213 Outpatient

Returning patient visit, 20 min cost in Pikeville, TN

In Pikeville, TN, 1 hospital lists a cash price for returning patient office visit, low complexity or 20+ minutes: from $44.51 to $44.51, with a median of $44.51. Across Tennessee, the median is $48.66 at 36 hospitals.

Cash prices at 1 facility for code 99213, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Jan 25, 2026 and Jan 25, 2026.

Lowest$44.51Erlanger Health
Median$44.51half pay less
Highest$44.51in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Erlanger Health Pikeville, TN · (423) 447-2112 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $44.51 $154.00 $79.77–$222.59 71% Jan 25, 2026
source file

Outpatient: lowest $44.51, median $44.51, highest $44.51.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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.