Returning patient visit, 40 min cost in Sheboygan, WI — inpatient
In Sheboygan, WI, 2 hospitals list a cash price for returning patient office visit, high complexity or 40+ minutes as an inpatient: from $227.50 to $339.24, with a median of $283.37. The lowest listed price is at Aurora Medical Center Sheboygan County — $55.87 less than the median here. Across Wisconsin, the median is $298.55 at 80 hospitals.
Cash prices at 2 facilities for code 99215, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Nov 21, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Sheboygan, WI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Aurora Medical Center Sheboygan County lowest Sheboygan, WI · (920) 451-5000 OP SERV COMP ACUITY-EST PT | $227.50 | $455.00 | $273.00–$386.75 | 50% | Nov 21, 2025 source file |
| St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan, WI · (920) 459-8300 HC LACTATION EST PAT-COMPRH | $339.24 | $514.00 | $95.40–$514.00 | 34% | — source file |
| St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan, WI · (920) 459-8300 HC OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN | $339.24 | $514.00 | $249.80–$514.00 | 34% | — source file |
| Aurora Medical Center Sheboygan County Sheboygan, WI · (920) 451-5000 OP SERV COMPR-EST PT* | $345.00 | $690.00 | $414.00–$586.50 | 50% | Nov 21, 2025 source file |
Inpatient: lowest $227.50, median $283.37, highest $339.24 — a 1.5× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $283.37 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 2 of 2 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.