Doctor visits and therapy CPT 99215 Inpatient — admitted to hospital

Returning patient visit, 40 min cost in Sheldon, IA — inpatient

In Sheldon, IA, 1 hospital lists a cash price for returning patient office visit, high complexity or 40+ minutes as an inpatient: from $214.40 to $214.40, with a median of $214.40. Across Iowa, the median is $265.60 at 36 hospitals.

Cash prices at 1 facility for code 99215, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 4, 2026 and Mar 4, 2026.

Lowest$214.40Sanford Sheldon Medical Center
Median$214.40half pay less
Highest$214.40in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sanford Sheldon Medical Center Sheldon, IA · (712) 324-5041 ESTAB LEVEL 5 $214.40 $268.00 $134.00–$241.20 20% Mar 4, 2026
source file

Inpatient: lowest $214.40, median $214.40, highest $214.40.

As an outpatient, the same code is billed by 1 facility here, median $214.40 — 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. 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.