Doctor visits and therapy CPT 99215 Inpatient — admitted to hospital

Returning patient visit, 40 min cost in St. Louis, MO — inpatient

In St. Louis, MO-IL, 7 hospitals list a cash price for returning patient office visit, high complexity or 40+ minutes as an inpatient: from $190.50 to $503.24, with a median of $364.50. The lowest listed price is at Gateway Regional Medical Center — $174.00 less than the median here. Across Missouri, the median is $174.20 at 26 hospitals.

Cash prices at 7 facilities across 7 cities for code 99215, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 16, 2026 and Jun 12, 2026.

Lowest$190.50Gateway Regional Medical Center
Median$364.50half pay less
Highest$503.24in this market
Difference2.6×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 St. Louis, MO-IL.

median
Lowest $190.50Highest $503.24

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gateway Regional Medical Center lowest Granite City, IL · (618) 798-3000 URGENT CARE LVL 5 EP $190.50 $317.50 $317.50 40% —
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Mercy Hospital Lincoln Elsberry, MO Office/Outpatient Established High Mdm 40 Min $196.50 $262.00 $131.00–$235.80 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/Outpatient Established High Mdm 40 Min $196.50 $262.00 $131.00–$235.80 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/Outpatient Established High Mdm 40 Min $196.50 $262.00 $131.00–$222.70 25% Jun 12, 2026
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Mercy Hospitals East Communities Washington, MO Office/Outpatient Established High Mdm 40 Min $196.50 $262.00 $131.00–$222.70 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/Outpatient Established High Mdm 40 Min $196.50 $262.00 $131.00–$235.80 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/Outpatient Established High Mdm 40 Min $196.50 $262.00 $131.00–$235.80 25% Jun 12, 2026
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Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 OFFICE O/P EST HI 40 MIN $364.50 $364.50 $2,557.76–$10,672.23 — —
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Mercy Rehabilitation Hospital St. Louis Chesterfield, MO TRANSTRACHIAL FOLLOW UP $397.33 $397.33 $397.33 — Mar 16, 2026
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Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 Office/Outpatient Visit Level 5 Established (99215) $427.00 $427.00 $97.69 — Apr 24, 2026
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Mercy Rehabilitation Hospital South Louis, MO TRANSTRACHIAL FOLLOW UP $503.24 $503.24 $503.24 — Mar 16, 2026
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Inpatient: lowest $190.50, median $364.50, highest $503.24 — a 2.6× difference within the same market.

As an outpatient, the same code is billed by 14 facilities here, median $196.50 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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.