Doctor visits and therapy CPT 99215 Inpatient — admitted to hospital

Returning patient visit, 40 min cost in Boston, MA — inpatient

In Boston-Cambridge-Newton, MA-NH, 8 hospitals list a cash price for returning patient office visit, high complexity or 40+ minutes as an inpatient: from $136.02 to $448.70, with a median of $271.25. The lowest listed price is at Boston Medical Center South — $135.23 less than the median here. Across Massachusetts, the median is $257.60 at 19 hospitals.

Cash prices at 8 facilities across 5 cities for code 99215, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$136.02Boston Medical Center South
Median$271.25half pay less
Highest$448.70in this market
Difference3.3×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 Boston-Cambridge-Newton, MA-NH.

median
Lowest $136.02Highest $448.70

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boston Medical Center South lowest Brockton, MA · (508) 427-3000 HC Office Outpatient Visit 40 Mins Met or Exceeded $136.02 $302.27 $30.54–$394.86 55% —
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Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Office Outpatient Visit 40 Mins Met or Exceeded $162.64 $361.43 $29.12–$475.07 55% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Psych Est Pt Office Level 5 Visit $215.00 $215.00 $9.79–$373.93 — —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Est Pt Office Level 5 Visit $215.00 $215.00 $29.70–$215.00 — —
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Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 PR Office O/P Established Pt Level 5 $257.60 $368.00 $34.89–$530.75 30% —
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Lowell General Hospital Lowell, MA · (978) 937-6000 PR Office O/P Established Pt Level 5 $284.90 $407.00 $22.70–$407.00 30% —
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Boston Medical Center Boston, MA · (617) 638-8000 HC Office Outpatient Visit 40 Minutes $401.85 $893.00 $23.27–$759.05 55% —
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Boston Medical Center Boston, MA · (617) 638-8000 HC Office Outpatient Visit 40 Mins Met or Exceeded $401.85 $893.00 $23.27–$759.05 55% —
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Tufts Medical Center Boston, MA · (617) 636-5000 PR Office O/P Established Pt Level 5 $414.40 $592.00 $26.45–$888.00 30% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 Office/Outpatient Established High Mdm 40 Min $420.00 $420.00 $9.79–$420.00 — —
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Shriners Childrens - Boston Boston, MA · (617) 722-3000 OFFICE O/P EST HI 40 MIN $448.70 $448.70 $3,895.00 — —
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Inpatient: lowest $136.02, median $271.25, highest $448.70 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 8 facilities here, median $271.25 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 8 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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 the highest level of office or outpatient visit for a returning patient, with high complexity decision making or at least 40 minutes of total clinician time on the visit date. It is used for serious or rapidly changing problems that may need urgent decisions.

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.