Doctor visits and therapy CPT 99213 Inpatient — admitted to hospital

Returning patient visit, 20 min cost in Rugby, ND — inpatient

In Rugby, ND, 1 hospital lists a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $195.00 to $195.00, with a median of $195.00. Across North Dakota, the median is $194.30 at 20 hospitals.

Cash prices at 1 facility for code 99213, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$195.00Heart of America Medical Center
Median$195.00half of hospitals charge less
Highest$195.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Heart of America Medical Center Rugby, ND PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN source file $195.00 $260.00 $231.87–$242.04 25%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking.
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth.
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less.
Off list How much lower the cash price is than the list price.

Inpatient: lowest $195.00, median $195.00, highest $195.00.

As an outpatient, the same code is billed by 1 facility here, median $195.00 — that is the price to compare if you are not being admitted.

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.