Doctor visits and therapy CPT 99215 Inpatient — admitted to hospital

Returning patient visit, 40 min cost in Pittsburgh, PA — inpatient

In Pittsburgh, PA, 12 hospitals list a cash price for returning patient office visit, high complexity or 40+ minutes as an inpatient: from $81.00 to $573.00, with a median of $240.60. The lowest listed price is at Monogahela Valley Hospital — $159.60 less than the median here. Across Pennsylvania, the median is $253.80 at 47 hospitals.

Cash prices at 12 facilities across 6 cities for code 99215, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 6, 2026 and Mar 6, 2026.

Lowest$81.00Monogahela Valley Hospital
Median$240.60half pay less
Highest$573.00in this market
Difference7.1×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 Pittsburgh, PA.

median
Lowest $81.00Highest $709.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Monogahela Valley Hospital lowest Monongahela, PA · (724) 258-1000 O/P OFF VISIT EST PT COMPLX $81.00 $135.00 $60.75 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 ESTABLISHED PATIENT LEVEL 5 $117.00 $195.00 $87.75 40% —
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UPMC Washington Washington, PA · (724) 225-7000 OFFICE VISIT F/U MAJOR EST PT $127.50 $212.50 $148.75 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 LEVEL V ESTABLISHED PATIENT $199.80 $333.00 $149.85 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 EST PT HIGH >40 MIN $199.80 $333.00 $149.85 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 EST PT HIGH > 40 MINUTES $199.80 $333.00 $149.85 40% —
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 RN VISIT-EST PT COMPLEX-40 MIN $199.80 $333.00 $149.85 40% —
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UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 CLINIC VISIT EST 99215 $200.40 $334.00 $217.10–$283.90 40% Mar 6, 2026
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UPMC Western Psychiatric Hospital Pittsburgh, PA CLINIC VISIT EST 99215 $200.40 $334.00 $200.40–$283.90 40% —
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UPMC Western Psychiatric Hospital Pittsburgh, PA CRNP CLINIC VISIT EST 99215 $200.40 $334.00 $200.40–$283.90 40% —
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UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 EST OP VISIT LEVEL 5 $200.40 $334.00 $217.10–$283.90 40% Mar 6, 2026
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UPMC Mercy Pittsburgh, PA · (412) 232-8111 CLINIC VISIT EST 99215 $201.60 $336.00 $102.82–$302.40 40% —
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UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CLINIC VISIT EST 99215 $227.40 $379.00 $136.44–$348.68 40% —
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UPMC East Monroeville, PA · (412) 357-3000 CLINIC VISIT EST 99215 $253.80 $423.00 $143.82–$338.40 40% —
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UPMC Jameson New Castle, PA · (724) 656-4100 CLINIC VISIT EST 99215 $268.80 $448.00 $336.00–$394.24 40% —
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UPMC St Margaret Pittsburgh, PA · (412) 784-4000 CLINIC VISIT EST 99215 $271.20 $452.00 $117.97–$384.20 40% —
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UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA · (412) 692-5325 CLINIC VISIT EST 99215 $291.00 $485.00 $194.00–$436.50 40% Mar 6, 2026
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UPMC Western Psychiatric Hospital Pittsburgh, PA FOLLOW-UP VISIT - COMPRE O/P $355.80 $593.00 $355.80–$504.05 40% —
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UPMC McKeesport McKeesport, PA · (412) 664-2000 CLINIC VISIT EST 99215 $413.40 $689.00 $239.08–$585.65 40% —
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UPMC Passavant - McCandless Pittsburgh, PA · (412) 367-6700 HC CLINIC VISIT EST 99215 $573.00 $955.00 $343.80–$888.15 40% —
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UPMC Western Psychiatric Hospital Pittsburgh, PA PES BRIEF EST 99215 $709.20 $1,182.00 $709.20–$1,004.70 40% —
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Inpatient: lowest $81.00, median $240.60, highest $573.00 — a 7.1× difference within the same market.

As an outpatient, the same code is billed by 13 facilities here, median $227.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 11 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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.