Doctor visits and therapy CPT 99213 533 markets

Returning patient visit, 20 min cost without insurance

Across 533 US markets, hospitals list an outpatient cash price for returning patient office visit, low complexity or 20+ minutes from $15.20 to $1,552.61. The median market price is $122.20. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 25, 2026 Each price links to its source file All Doctor visit costs

Lowest$15.20any market
Median market$122.20middle of market medians
Highest$1,552.61any market
Listings1,180hospital prices

Compared with Medicare

$136.02 is the single 2026 national base rate Medicare pays a hospital clinic for an office visit of any level, including the patient's share and before the local wage adjustment. The median hospital cash price, $131.30 across 1,189 hospitals, is 1.0× that.

Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.

What it is

This is an office or outpatient visit for a returning patient with low complexity decision making, or at least 20 minutes of total clinician time on the visit date. It is one of the most common visit codes, used for things like a stable chronic condition or an acute problem such as an infection.

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.

Why prices differ

Prices vary by clinician type and setting, and hospital-owned clinics may add a facility fee that independent offices do not charge.

What to ask

Ask whether the self-pay price for CPT 99213 includes any facility fee and whether any in-office tests are likely.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Ada, MN single city 1 $79.07 $79.07 $79.07 1.0×
Anaconda, MT single city 1 $189.98 $189.98 $189.98 1.0×
Anna, IL single city 1 $59.50 $59.50 $59.50 1.0×
Antigo, WI single city 1 $157.95 $157.95 $157.95 1.0×
Aurora, MO single city 1 $104.00 $104.00 $104.00 1.0×
Aberdeen, SD 1 $168.00 $168.00 $168.00 1.0×
Ada, OK 1 $96.20 $96.20 $96.20 1.0×
Akron, OH 4 $16.25 $59.91 $126.00 7.8×
Albany, OR 2 $44.80 $89.60 $134.40 3.0×
Albany-Schenectady-Troy, NY 3 $140.00 $189.93 $231.00 1.6×
Alexandria, LA 1 $56.68 $56.68 $56.68 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $77.82 $77.82 $77.82 1.0×
Altoona, PA 1 $73.00 $73.00 $73.00 1.0×
Anchorage, AK 3 $102.00 $205.92 $1,286.70 12.6×
Ann Arbor, MI 1 $35.20 $35.20 $35.20 1.0×
Appleton, WI 4 $62.70 $149.73 $164.36 2.6×
Ardmore, OK 3 $44.20 $110.25 $133.25 3.0×
Asheville, NC 1 $343.00 $343.00 $343.00 1.0×
Ashland, OH 1 $210.75 $210.75 $210.75 1.0×
Astoria, OR 1 $189.00 $189.00 $189.00 1.0×
Atlanta-Sandy Springs-Roswell, GA 10 $97.00 $399.00 $399.00 4.1×
Auburn-Opelika, AL 1 $72.05 $72.05 $72.05 1.0×
Austin-Round Rock-San Marcos, TX 2 $128.64 $163.82 $198.99 1.5×
Bad Axe, MI single city 1 $45.00 $45.00 $45.00 1.0×
Bagley, MN single city 1 $193.60 $193.60 $193.60 1.0×
Belfast, ME single city 1 $64.75 $64.75 $64.75 1.0×
Berlin, WI single city 1 $164.36 $164.36 $164.36 1.0×
Bernie, MO single city 1 $78.75 $78.75 $78.75 1.0×
Berryville, AR single city 1 $83.85 $83.85 $83.85 1.0×
Big Stone Gap, VA single city 1 $36.30 $36.30 $36.30 1.0×
Blairsville, GA single city 1 $75.00 $75.00 $75.00 1.0×
Blue Hill, ME single city 1 $26.27 $26.27 $26.27 1.0×
Booneville, AR single city 1 $105.30 $105.30 $105.30 1.0×
Brookfield, WI single city 1 $230.02 $230.02 $230.02 1.0×
Brookville, PA single city 1 $73.00 $73.00 $73.00 1.0×
Bryan, OH single city 1 $23.50 $23.50 $23.50 1.0×
Bryant, AR single city 1 $107.80 $107.80 $107.80 1.0×
Buckhannon, WV single city 1 $65.50 $65.50 $65.50 1.0×
Baker City, OR 1 $66.30 $66.30 $66.30 1.0×
Bakersfield-Delano, CA 1 $241.15 $241.15 $241.15 1.0×
Baltimore-Columbia-Towson, MD 4 $89.26 $107.43 $201.00 2.3×
Bangor, ME 2 $34.44 $60.78 $87.12 2.5×
Barre, VT 1 $223.59 $223.59 $223.59 1.0×
Bartlesville, OK 1 $165.39 $165.39 $165.39 1.0×
Batavia, NY 1 $152.13 $152.13 $152.13 1.0×
Bay City, MI 1 $45.00 $45.00 $45.00 1.0×
Beaumont-Port Arthur, TX 5 $43.23 $43.23 $43.23 1.0×
Beaver Dam, WI 1 $62.70 $62.70 $62.70 1.0×
Bellingham, WA 1 $217.10 $217.10 $217.10 1.0×
Bemidji, MN 1 $148.00 $148.00 $148.00 1.0×
Bend, OR 4 $157.92 $369.44 $369.44 2.3×
Bennington, VT 1 $83.24 $83.24 $83.24 1.0×
Big Rapids, MI 1 $114.33 $114.33 $114.33 1.0×
Birmingham, AL 4 $406.93 $967.00 $967.00 2.4×
Bismarck, ND 2 $112.20 $148.50 $184.80 1.6×
Blackfoot, ID 1 $95.55 $95.55 $95.55 1.0×
Bluefield, WV-VA 1 $63.00 $63.00 $63.00 1.0×
Boise City, ID 4 $209.00 $265.50 $322.00 1.5×
Boston-Cambridge-Newton, MA-NH 8 $75.14 $151.90 $322.10 4.3×
Boulder, CO 1 $470.82 $470.82 $470.82 1.0×
Bozeman, MT 1 $79.20 $79.20 $79.20 1.0×
Bradford, PA 1 $45.00 $45.00 $45.00 1.0×
Brainerd, MN 1 $74.70 $74.70 $74.70 1.0×
Brattleboro, VT 2 $106.68 $113.47 $120.25 1.1×
Bremerton-Silverdale-Port Orchard, WA 1 $191.11 $191.11 $191.11 1.0×
Buffalo-Cheektowaga, NY 6 $113.82 $190.00 $301.18 2.6×
Burlington-South Burlington, VT 1 $204.00 $204.00 $204.00 1.0×
Cades, SC single city 1 $43.00 $43.00 $43.00 1.0×
Canby, MN single city 1 $146.40 $146.40 $146.40 1.0×
Caro, MI single city 1 $45.00 $45.00 $45.00 1.0×
Carthage, MS single city 1 $231.30 $231.30 $231.30 1.0×
Cassville, MO single city 1 $129.35 $129.35 $129.35 1.0×
Cedar Rapids, IA single city 1 $160.80 $160.80 $160.80 1.0×
Centerville, IA single city 1 $182.00 $182.00 $182.00 1.0×
Charlevoix, MI single city 1 $50.15 $50.15 $50.15 1.0×
Clear Lake, SD single city 1 $145.60 $145.60 $145.60 1.0×
Clintwood, VA single city 1 $35.42 $35.42 $35.42 1.0×
Columbus, NC single city 1 $340.20 $340.20 $340.20 1.0×
Corning, IA single city 1 $41.28 $41.28 $41.28 1.0×
Coudersport, PA single city 1 $183.00 $183.00 $183.00 1.0×
Cadillac, MI 1 $67.15 $67.15 $67.15 1.0×
Calhoun, GA 1 $823.76 $823.76 $823.76 1.0×
Canton-Massillon, OH 2 $16.25 $90.03 $163.80 10.1×
Cape Coral-Fort Myers, FL 5 $99.00 $99.00 $99.00 1.0×
Cape Girardeau, MO-IL 2 $57.20 $78.48 $99.75 1.7×
Casper, WY 1 $54.60 $54.60 $54.60 1.0×
Cedar Rapids, IA 1 $118.14 $118.14 $118.14 1.0×
Chambersburg, PA 2 $312.00 $366.80 $421.60 1.4×
Charleston, WV 1 $67.50 $67.50 $67.50 1.0×
Charleston-Mattoon, IL 1 $246.96 $246.96 $246.96 1.0×
Charleston-North Charleston, SC 5 $59.50 $167.05 $167.05 2.8×
Charlotte-Concord-Gastonia, NC-SC 7 $91.50 $398.25 $489.00 5.3×
Chattanooga, TN-GA 1 $81.31 $81.31 $81.31 1.0×
Cheyenne, WY 1 $149.26 $149.26 $149.26 1.0×
Chicago-Naperville-Elgin, IL-IN 48 $16.10 $147.50 $349.00 21.7×
Cincinnati, OH-KY-IN 2 $78.03 $90.02 $102.00 1.3×
Cleveland, OH 22 $38.15 $107.25 $322.20 8.4×
Clinton, IA 2 $117.60 $129.30 $141.00 1.2×
Coeur d'Alene, ID 1 $197.25 $197.25 $197.25 1.0×
Columbia, MO 1 $127.80 $127.80 $127.80 1.0×
Columbia, SC 3 $165.00 $188.50 $188.50 1.1×
Columbus, IN 1 $162.40 $162.40 $162.40 1.0×
Columbus, MS 1 $88.50 $88.50 $88.50 1.0×
Columbus, NE 1 $73.10 $73.10 $73.10 1.0×
Columbus, OH 6 $78.07 $164.05 $200.00 2.6×
Coos Bay-North Bend, OR 1 $196.20 $196.20 $196.20 1.0×
Corbin, KY 1 $621.63 $621.63 $621.63 1.0×
Corning, NY 3 $65.60 $122.00 $415.34 6.3×
Corpus Christi, TX 1 $123.86 $123.86 $123.86 1.0×
Cortland, NY 1 $391.87 $391.87 $391.87 1.0×
Corvallis, OR 1 $134.40 $134.40 $134.40 1.0×
Crossville, TN 1 $52.80 $52.80 $52.80 1.0×
Cumberland, MD-WV 2 $65.50 $91.25 $117.00 1.8×
Damariscotta, ME single city 1 $195.35 $195.35 $195.35 1.0×
Decorah, IA single city 1 $68.60 $68.60 $68.60 1.0×
Dexter, MO single city 2 $78.75 $146.95 $215.15 2.7×
Dillon, MT single city 1 $68.40 $68.40 $68.40 1.0×
Dover Foxcroft, ME single city 1 $56.76 $56.76 $56.76 1.0×
Durand, WI single city 1 $306.77 $306.77 $306.77 1.0×
Durham, NC single city 1 $111.50 $111.50 $111.50 1.0×
Dallas-Fort Worth-Arlington, TX 22 $154.65 $352.50 $710.40 4.6×
Dalton, GA 1 $823.76 $823.76 $823.76 1.0×
Danville, VA 1 $192.40 $192.40 $192.40 1.0×
Davenport-Moline-Rock Island, IA-IL 6 $96.60 $117.60 $160.80 1.7×
Dayton-Kettering-Beavercreek, OH 2 $108.19 $190.15 $272.10 2.5×
Decatur, IL 1 $300.96 $300.96 $300.96 1.0×
Decatur, IN 1 $185.00 $185.00 $185.00 1.0×
Defiance, OH 1 $175.20 $175.20 $175.20 1.0×
Deltona-Daytona Beach-Ormond Beach, FL 6 $301.23 $391.66 $589.52 2.0×
Denver-Aurora-Centennial, CO 8 $59.09 $300.41 $470.82 8.0×
Des Moines-West Des Moines, IA 4 $140.00 $140.50 $160.80 1.1×
Detroit Lakes, MN 1 $66.77 $66.77 $66.77 1.0×
Detroit-Warren-Dearborn, MI 16 $43.24 $78.60 $303.75 7.0×
Dickinson, ND 1 $40.95 $40.95 $40.95 1.0×
Douglas, GA 1 $68.00 $68.00 $68.00 1.0×
Dover, DE 1 $231.84 $231.84 $231.84 1.0×
DuBois, PA 1 $186.00 $186.00 $186.00 1.0×
Dubuque, IA 3 $118.30 $140.00 $160.80 1.4×
Duluth, MN-WI 9 $72.22 $79.07 $172.43 2.4×
Durant, OK 1 $605.93 $605.93 $605.93 1.0×
Durham-Chapel Hill, NC 1 $111.50 $111.50 $111.50 1.0×
E Academy Paris, AR single city 1 $105.30 $105.30 $105.30 1.0×
Eagle River, WI single city 1 $157.95 $157.95 $157.95 1.0×
East Amery, WI single city 1 $22.94 $22.94 $22.94 1.0×
Elizabethtown, NY single city 1 $293.00 $293.00 $293.00 1.0×
Elkader, IA single city 1 $118.30 $118.30 $118.30 1.0×
Ellsworth, ME single city 1 $41.00 $41.00 $41.00 1.0×
Estherville, IA single city 1 $175.57 $175.57 $175.57 1.0×
Everett, PA single city 1 $121.20 $121.20 $121.20 1.0×
Eau Claire, WI 2 $62.70 $110.33 $157.95 2.5×
El Paso, TX 3 $15.20 $15.20 $40.00 2.6×
Elkhart-Goshen, IN 1 $194.60 $194.60 $194.60 1.0×
Elmira, NY 2 $65.60 $65.60 $65.60 1.0×
Erie, PA 1 $156.60 $156.60 $156.60 1.0×
Eugene-Springfield, OR 3 $87.75 $87.75 $164.45 1.9×
Eureka-Arcata, CA 1 $82.62 $82.62 $82.62 1.0×
Evansville, IN 3 $32.40 $32.40 $59.50 1.8×
Farmington, CT single city 1 $190.80 $190.80 $190.80 1.0×
Farmington, ME single city 1 $207.60 $207.60 $207.60 1.0×
Fremont, MI single city 1 $114.33 $114.33 $114.33 1.0×
Friday Harbor, WA single city 1 $69.55 $69.55 $69.55 1.0×
Friendship, WI single city 1 $78.74 $78.74 $78.74 1.0×
Fairbanks-College, AK 1 $979.46 $979.46 $979.46 1.0×
Fallon, NV 1 $178.97 $178.97 $178.97 1.0×
Fargo, ND-MN 2 $78.00 $135.80 $193.60 2.5×
Faribault-Northfield, MN 1 $80.08 $80.08 $80.08 1.0×
Fayetteville-Springdale-Rogers, AR 3 $18.45 $40.95 $100.00 5.4×
Flagstaff, AZ 2 $105.50 $143.31 $181.12 1.7×
Flint, MI 2 $45.00 $73.53 $102.06 2.3×
Florence, SC 1 $389.00 $389.00 $389.00 1.0×
Fond du Lac, WI 2 $164.36 $197.18 $230.00 1.4×
Fort Collins-Loveland, CO 1 $75.75 $75.75 $75.75 1.0×
Fort Dodge, IA 1 $160.80 $160.80 $160.80 1.0×
Fort Morgan, CO 1 $169.92 $169.92 $169.92 1.0×
Fort Smith, AR-OK 1 $40.95 $40.95 $40.95 1.0×
Fort Wayne, IN 6 $16.50 $23.81 $27.00 1.6×
Fremont, NE 1 $23.31 $23.31 $23.31 1.0×
Fresno, CA 1 $47.25 $47.25 $47.25 1.0×
Gassaway, WV single city 1 $65.50 $65.50 $65.50 1.0×
Gaylord, MI single city 1 $118.15 $118.15 $118.15 1.0×
Graceville, MN single city 1 $79.07 $79.07 $79.07 1.0×
Grayling, MI single city 1 $118.15 $118.15 $118.15 1.0×
Greenville, ME single city 1 $75.00 $75.00 $75.00 1.0×
Grinnell, IA single city 1 $160.80 $160.80 $160.80 1.0×
Gainesville, FL 1 $100.10 $100.10 $100.10 1.0×
Gettysburg, PA 1 $113.60 $113.60 $113.60 1.0×
Grand Forks, ND-MN 1 $79.07 $79.07 $79.07 1.0×
Grand Island, NE 1 $243.08 $243.08 $243.08 1.0×
Grand Junction, CO 1 $80.64 $80.64 $80.64 1.0×
Grand Rapids, MN 2 $79.07 $125.81 $172.55 2.2×
Grand Rapids-Wyoming-Kentwood, MI 5 $114.33 $114.33 $330.00 2.9×
Greeley, CO 1 $132.60 $132.60 $132.60 1.0×
Green Bay, WI 6 $63.43 $148.16 $243.54 3.8×
Greencastle, IN 1 $198.80 $198.80 $198.80 1.0×
Greeneville, TN 1 $36.30 $36.30 $36.30 1.0×
Greensburg, IN 1 $153.75 $153.75 $153.75 1.0×
Greenville-Anderson-Greer, SC 2 $256.20 $265.05 $273.90 1.1×
Harbor Beach, MI single city 1 $79.50 $79.50 $79.50 1.0×
Hartford, CT single city 2 $149.05 $159.53 $170.00 1.1×
Hiawassee, GA single city 1 $75.00 $75.00 $75.00 1.0×
Huntingdon, TN single city 1 $112.01 $112.01 $112.01 1.0×
Hagerstown-Martinsburg, MD-WV 1 $86.00 $86.00 $86.00 1.0×
Hailey, ID 1 $322.00 $322.00 $322.00 1.0×
Hammond, LA 1 $53.15 $53.15 $53.15 1.0×
Harrisburg-Carlisle, PA 3 $51.99 $61.80 $72.39 1.4×
Helena, MT 2 $115.04 $128.99 $142.94 1.2×
Henderson, KY 1 $59.50 $59.50 $59.50 1.0×
Hermiston-Pendleton, OR 1 $134.89 $134.89 $134.89 1.0×
Hermitage, PA 1 $216.00 $216.00 $216.00 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $90.00 $90.00 $90.00 1.0×
Holland, MI 2 $132.00 $138.77 $145.53 1.1×
Hood River, OR 1 $154.50 $154.50 $154.50 1.0×
Houghton, MI 1 $157.95 $157.95 $157.95 1.0×
Houston-Pasadena-The Woodlands, TX 13 $54.87 $204.50 $248.90 4.5×
Huntingdon, PA 1 $73.00 $73.00 $73.00 1.0×
Huntington-Ashland, WV-KY-OH 2 $29.60 $58.30 $86.99 2.9×
Hutchinson, MN 1 $149.50 $149.50 $149.50 1.0×
Iron River, MI single city 1 $157.95 $157.95 $157.95 1.0×
Ironwood, MI single city 1 $157.95 $157.95 $157.95 1.0×
Indianapolis-Carmel-Greenwood, IN 13 $33.00 $34.80 $333.60 10.1×
Ithaca, NY 1 $52.29 $52.29 $52.29 1.0×
Jackson, MN single city 1 $205.60 $205.60 $205.60 1.0×
John Day, OR single city 1 $200.25 $200.25 $200.25 1.0×
Jackson, MI 1 $78.49 $78.49 $78.49 1.0×
Jackson, MS 2 $72.24 $141.49 $210.74 2.9×
Jacksonville, FL 5 $110.75 $116.18 $133.57 1.2×
Jamestown-Dunkirk, NY 2 $40.70 $69.25 $97.80 2.4×
Jasper, IN 1 $59.50 $59.50 $59.50 1.0×
Johnson City, TN 3 $36.30 $36.30 $36.30 1.0×
Jonesboro, AR 1 $35.53 $35.53 $35.53 1.0×
Joplin, MO-KS 4 $57.20 $104.65 $131.30 2.3×
Kilmarnock, VA single city 1 $174.60 $174.60 $174.60 1.0×
Kingfisher, OK single city 1 $145.60 $145.60 $145.60 1.0×
Kodiak, AK single city 1 $609.96 $609.96 $609.96 1.0×
Kosciusko, MS single city 1 $226.16 $226.16 $226.16 1.0×
Kankakee, IL 1 $210.56 $210.56 $210.56 1.0×
Kansas City, MO-KS 4 $79.20 $320.89 $562.57 7.1×
Kapaa, HI 1 $270.00 $270.00 $270.00 1.0×
Kearney, NE 1 $220.82 $220.82 $220.82 1.0×
Ketchikan, AK 1 $141.05 $141.05 $141.05 1.0×
Key West-Key Largo, FL 2 $546.65 $546.65 $546.65 1.0×
Killeen-Temple, TX 2 $361.22 $361.22 $361.22 1.0×
Kingsport-Bristol, TN-VA 5 $36.30 $36.30 $36.30 1.0×
Knoxville, TN 6 $32.40 $35.64 $141.75 4.4×
Kokomo, IN 1 $40.80 $40.80 $40.80 1.0×
Ladysmith, WI single city 1 $62.70 $62.70 $62.70 1.0×
Lakeview, OR single city 1 $153.00 $153.00 $153.00 1.0×
Lebanon, VA single city 1 $36.30 $36.30 $36.30 1.0×
Linton, IN single city 1 $189.78 $189.78 $189.78 1.0×
Litchfield, IL single city 1 $285.84 $285.84 $285.84 1.0×
Loveland, CO single city 1 $132.60 $132.60 $132.60 1.0×
La Crosse-Onalaska, WI-MN 2 $54.80 $59.75 $64.70 1.2×
Lafayette-West Lafayette, IN 1 $539.40 $539.40 $539.40 1.0×
Lakeland-Winter Haven, FL 3 $102.40 $616.46 $1,218.74 11.9×
Lancaster, PA 1 $356.00 $356.00 $356.00 1.0×
Lansing-East Lansing, MI 1 $45.00 $45.00 $45.00 1.0×
Las Vegas-Henderson-North Las Vegas, NV 2 $148.50 $155.25 $162.00 1.1×
Laurel, MS 1 $116.00 $116.00 $116.00 1.0×
Lebanon, MO 1 $92.30 $92.30 $92.30 1.0×
Lebanon, PA 1 $104.00 $104.00 $104.00 1.0×
Lebanon-Claremont, NH-VT 2 $23.65 $62.47 $101.29 4.3×
Lewisburg, PA 1 $239.20 $239.20 $239.20 1.0×
Lewiston-Auburn, ME 1 $48.26 $48.26 $48.26 1.0×
Lima, OH 1 $28.80 $28.80 $28.80 1.0×
Lincoln, NE 2 $116.38 $153.94 $191.50 1.6×
Little Rock-North Little Rock-Conway, AR 2 $18.45 $63.13 $107.80 5.8×
Logansport, IN 1 $23.62 $23.62 $23.62 1.0×
Longview-Kelso, WA 1 $224.25 $224.25 $224.25 1.0×
Los Angeles-Long Beach-Anaheim, CA 6 $72.00 $101.00 $382.13 5.3×
Louisville/Jefferson County, KY-IN 4 $30.00 $71.04 $243.00 8.1×
Lubbock, TX 2 $70.14 $241.85 $413.55 5.9×
Ludington, MI 1 $114.33 $114.33 $114.33 1.0×
Magazine, AR single city 1 $104.25 $104.25 $104.25 1.0×
Malone, NY single city 1 $227.00 $227.00 $227.00 1.0×
Manistee, MI single city 1 $39.95 $39.95 $39.95 1.0×
Mansfield, AR single city 1 $104.25 $104.25 $104.25 1.0×
Marietta, OK single city 2 $92.00 $148.50 $205.00 2.2×
Marion, VA single city 1 $36.30 $36.30 $36.30 1.0×
McCall, ID single city 1 $322.00 $322.00 $322.00 1.0×
Medford, WI single city 1 $157.95 $157.95 $157.95 1.0×
Merrill, WI single city 1 $157.95 $157.95 $157.95 1.0×
Middlebury, VT single city 1 $148.00 $148.00 $148.00 1.0×
Millersburg, OH single city 1 $101.60 $101.60 $101.60 1.0×
Minocqua, WI single city 1 $62.70 $62.70 $62.70 1.0×
Monroeville, AL single city 1 $36.00 $36.00 $36.00 1.0×
Montour Falls, NY single city 1 $72.03 $72.03 $72.03 1.0×
Montpelier, OH single city 1 $23.50 $23.50 $23.50 1.0×
Morganfield, KY single city 1 $59.50 $59.50 $59.50 1.0×
Mountain City, TN single city 1 $35.42 $35.42 $35.42 1.0×
Mullins, SC single city 1 $129.00 $129.00 $129.00 1.0×
Murphy, NC single city 1 $205.80 $205.80 $205.80 1.0×
Macon-Bibb County, GA 2 $49.50 $80.25 $111.00 2.2×
Madison, IN 1 $34.98 $34.98 $34.98 1.0×
Madison, WI 2 $157.95 $174.58 $191.20 1.2×
Manchester-Nashua, NH 3 $20.40 $54.99 $56.24 2.8×
Manhattan, KS 2 $38.00 $63.40 $88.80 2.3×
Manitowoc, WI 1 $170.00 $170.00 $170.00 1.0×
Marietta, OH 2 $77.97 $111.89 $145.81 1.9×
Marinette, WI-MI 1 $225.00 $225.00 $225.00 1.0×
Marion-Herrin, IL 1 $59.50 $59.50 $59.50 1.0×
Marshall, MN 1 $133.60 $133.60 $133.60 1.0×
Marshall, MO 1 $253.68 $253.68 $253.68 1.0×
Marshalltown, IA 1 $160.80 $160.80 $160.80 1.0×
Martinsville, VA 1 $192.40 $192.40 $192.40 1.0×
Mason City, IA 1 $141.00 $141.00 $141.00 1.0×
Massena-Ogdensburg, NY 3 $72.33 $72.72 $73.76 1.0×
McAllen-Edinburg-Mission, TX 1 $142.34 $142.34 $142.34 1.0×
Medford, OR 1 $175.50 $175.50 $175.50 1.0×
Memphis, TN-MS-AR 12 $56.85 $63.11 $115.72 2.0×
Meridian, MS 2 $38.06 $53.63 $69.20 1.8×
Miami-Fort Lauderdale-West Palm Beach, FL 16 $37.05 $127.80 $546.65 14.8×
Michigan City-La Porte, IN 1 $22.77 $22.77 $22.77 1.0×
Milwaukee-Waukesha, WI 16 $46.20 $182.50 $275.60 6.0×
Minneapolis-St. Paul-Bloomington, MN-WI 19 $36.66 $144.77 $203.00 5.5×
Missoula, MT 1 $155.20 $155.20 $155.20 1.0×
Mobile, AL 1 $111.30 $111.30 $111.30 1.0×
Morgantown, WV 1 $67.50 $67.50 $67.50 1.0×
Morristown, TN 1 $32.40 $32.40 $32.40 1.0×
Mount Pleasant, MI 1 $45.00 $45.00 $45.00 1.0×
Mount Vernon, IL 1 $59.50 $59.50 $59.50 1.0×
Mount Vernon-Anacortes, WA 2 $87.10 $175.55 $264.00 3.0×
Muscatine, IA 1 $160.80 $160.80 $160.80 1.0×
Muskogee, OK 1 $62.86 $62.86 $62.86 1.0×
Nebraska City, NE single city 1 $67.23 $67.23 $67.23 1.0×
Neillsville, WI single city 1 $62.70 $62.70 $62.70 1.0×
New Albany, MS single city 1 $67.68 $67.68 $67.68 1.0×
New Britain, CT single city 1 $293.46 $293.46 $293.46 1.0×
New Canaan, CT single city 1 $150.00 $150.00 $150.00 1.0×
New Hampton, IA single city 1 $118.30 $118.30 $118.30 1.0×
New London, WI single city 1 $164.36 $164.36 $164.36 1.0×
New Martinsville, WV single city 1 $135.00 $135.00 $135.00 1.0×
Newberry, MI single city 1 $186.80 $186.80 $186.80 1.0×
Newport, VT single city 1 $100.00 $100.00 $100.00 1.0×
North Conway, NH single city 1 $49.70 $49.70 $49.70 1.0×
North Vernon, IN single city 1 $241.80 $241.80 $241.80 1.0×
Norway, ME single city 1 $230.00 $230.00 $230.00 1.0×
Nowata, OK single city 1 $165.39 $165.39 $165.39 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 2 $61.48 $87.98 $114.48 1.9×
Natchitoches, LA 1 $32.00 $32.00 $32.00 1.0×
New Castle, IN 1 $107.17 $107.17 $107.17 1.0×
New Orleans-Metairie, LA 8 $21.33 $27.02 $105.16 4.9×
New Philadelphia-Dover, OH 1 $16.25 $16.25 $16.25 1.0×
New Ulm, MN 1 $59.30 $59.30 $59.30 1.0×
New York-Newark-Jersey City, NY-NJ 31 $15.20 $325.00 $644.21 42.4×
Newport, OR 2 $44.80 $44.80 $44.80 1.0×
Norfolk, NE 1 $72.24 $72.24 $72.24 1.0×
Norwalk, OH 1 $130.20 $130.20 $130.20 1.0×
Oelwein, IA single city 1 $118.30 $118.30 $118.30 1.0×
Ogallala, NE single city 1 $97.18 $97.18 $97.18 1.0×
Olivia, MN single city 1 $101.87 $101.87 $101.87 1.0×
Olla, LA single city 1 $120.00 $120.00 $120.00 1.0×
Ozark, AR single city 1 $105.30 $105.30 $105.30 1.0×
Ocala, FL 1 $622.35 $622.35 $622.35 1.0×
Ocean Pines, MD 1 $132.21 $132.21 $132.21 1.0×
Oil City, PA 1 $186.60 $186.60 $186.60 1.0×
Oklahoma City, OK 6 $26.60 $87.17 $137.80 5.2×
Olympia-Lacey-Tumwater, WA 1 $146.12 $146.12 $146.12 1.0×
Omaha, NE-IA 10 $42.14 $61.32 $276.25 6.6×
Ontario, OR-ID 1 $146.00 $146.00 $146.00 1.0×
Orangeburg, SC 1 $59.50 $59.50 $59.50 1.0×
Orlando-Kissimmee-Sanford, FL 8 $87.00 $102.40 $620.66 7.1×
Oshkosh-Neenah, WI 5 $135.09 $164.36 $230.00 1.7×
Ottawa, KS 1 $562.57 $562.57 $562.57 1.0×
Owatonna, MN 1 $80.08 $80.08 $80.08 1.0×
Oxford, MS 1 $74.98 $74.98 $74.98 1.0×
Paris, AR single city 1 $104.25 $104.25 $104.25 1.0×
Park Falls, WI single city 1 $62.70 $62.70 $62.70 1.0×
Pennington Gap, VA single city 1 $35.42 $35.42 $35.42 1.0×
Perryville, MO single city 2 $100.75 $108.50 $116.25 1.2×
Petersburg, WV single city 1 $104.80 $104.80 $104.80 1.0×
Pikeville, TN single city 1 $44.51 $44.51 $44.51 1.0×
Pittsfield, ME single city 1 $58.48 $58.48 $58.48 1.0×
Polson, MT single city 1 $88.00 $88.00 $88.00 1.0×
Presque Isle, ME single city 1 $34.44 $34.44 $34.44 1.0×
Princeton, IN single city 1 $59.50 $59.50 $59.50 1.0×
Punxsutawney, PA single city 1 $55.44 $55.44 $55.44 1.0×
Putnam, CT single city 1 $55.02 $55.02 $55.02 1.0×
Paducah, KY-IL 1 $440.40 $440.40 $440.40 1.0×
Palm Bay-Melbourne-Titusville, FL 5 $70.34 $70.34 $102.40 1.5×
Parkersburg-Vienna, WV 1 $63.00 $63.00 $63.00 1.0×
Payson, AZ 1 $91.58 $91.58 $91.58 1.0×
Pensacola-Ferry Pass-Brent, FL 2 $45.60 $799.11 $1,552.61 34.0×
Peru, IN 1 $17.50 $17.50 $17.50 1.0×
Petoskey, MI 1 $45.00 $45.00 $45.00 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 15 $56.60 $144.00 $652.54 11.5×
Phoenix-Mesa-Chandler, AZ 20 $77.17 $156.00 $1,147.55 14.9×
Pittsburg, KS 1 $79.95 $79.95 $79.95 1.0×
Pittsburgh, PA 13 $55.20 $183.60 $216.00 3.9×
Pittsfield, MA 3 $140.43 $140.43 $140.43 1.0×
Plainview, TX 1 $49.98 $49.98 $49.98 1.0×
Platteville, WI 1 $66.95 $66.95 $66.95 1.0×
Plattsburgh, NY 1 $407.00 $407.00 $407.00 1.0×
Plymouth, IN 1 $140.00 $140.00 $140.00 1.0×
Port St. Lucie, FL 1 $122.20 $122.20 $122.20 1.0×
Port Townsend, WA 1 $237.60 $237.60 $237.60 1.0×
Portland-South Portland, ME 7 $42.64 $78.90 $198.75 4.7×
Portland-Vancouver-Hillsboro, OR-WA 15 $94.25 $189.00 $302.50 3.2×
Portsmouth, OH 1 $103.18 $103.18 $103.18 1.0×
Providence-Warwick, RI-MA 6 $137.99 $252.20 $280.00 2.0×
Punta Gorda, FL 1 $861.68 $861.68 $861.68 1.0×
Reed City, MI single city 1 $114.33 $114.33 $114.33 1.0×
Rhinelander, WI single city 1 $157.95 $157.95 $157.95 1.0×
Ripley, WV single city 1 $68.00 $68.00 $68.00 1.0×
Rock Rapids, IA single city 1 $111.55 $111.55 $111.55 1.0×
Rockport, ME single city 1 $74.20 $74.20 $74.20 1.0×
Racine-Mount Pleasant, WI 2 $140.00 $155.00 $170.00 1.2×
Raleigh-Cary, NC 1 $111.50 $111.50 $111.50 1.0×
Rapid City, SD 1 $78.60 $78.60 $78.60 1.0×
Reading, PA 1 $29.91 $29.91 $29.91 1.0×
Reno, NV 1 $101.00 $101.00 $101.00 1.0×
Rice Lake, WI 1 $62.70 $62.70 $62.70 1.0×
Richmond, VA 5 $115.80 $115.80 $257.70 2.2×
Richmond-Berea, KY 1 $233.40 $233.40 $233.40 1.0×
Riverside-San Bernardino-Ontario, CA 5 $137.50 $232.65 $306.00 2.2×
Rochester, MN 1 $152.86 $152.86 $152.86 1.0×
Rochester, NY 8 $100.00 $152.13 $206.83 2.1×
Rome, GA 1 $832.40 $832.40 $832.40 1.0×
Sandstone, MN single city 1 $79.07 $79.07 $79.07 1.0×
Scottsburg, IN single city 1 $31.80 $31.80 $31.80 1.0×
Seward, AK single city 1 $219.96 $219.96 $219.96 1.0×
Shelbyville, IL single city 1 $131.04 $131.04 $131.04 1.0×
Sheldon, IA single city 1 $123.20 $123.20 $123.20 1.0×
Sistersville, WV single city 1 $69.95 $69.95 $69.95 1.0×
Sneedville, TN single city 1 $35.42 $35.42 $35.42 1.0×
South Boston, VA single city 1 $93.50 $93.50 $93.50 1.0×
St. Johnsbury, VT single city 1 $27.75 $27.75 $27.75 1.0×
St. Paul, MN single city 1 $167.76 $167.76 $167.76 1.0×
Stafford Springs, CT single city 1 $131.31 $131.31 $131.31 1.0×
Summersville, WV single city 1 $68.00 $68.00 $68.00 1.0×
Sacramento-Roseville-Folsom, CA 1 $345.50 $345.50 $345.50 1.0×
Safford, AZ 1 $72.60 $72.60 $72.60 1.0×
Salem, OR 4 $127.20 $147.13 $259.53 2.0×
Salinas, CA 1 $149.00 $149.00 $149.00 1.0×
Salisbury, MD 1 $138.25 $138.25 $138.25 1.0×
San Antonio-New Braunfels, TX 2 $36.63 $38.07 $39.50 1.1×
San Diego-Chula Vista-Carlsbad, CA 7 $39.13 $296.25 $296.25 7.6×
San Jose-Sunnyvale-Santa Clara, CA 3 $60.50 $75.00 $181.50 3.0×
Santa Rosa-Petaluma, CA 1 $151.47 $151.47 $151.47 1.0×
Savannah, GA 2 $58.59 $61.70 $64.80 1.1×
Sayre, PA 3 $154.60 $415.34 $415.34 2.7×
Seaford, DE 3 $231.84 $313.65 $314.88 1.4×
Seattle-Tacoma-Bellevue, WA 10 $72.42 $133.61 $212.80 2.9×
Sebastian-Vero Beach-West Vero Corridor, FL 2 $102.40 $112.30 $122.20 1.2×
Sebring, FL 1 $978.39 $978.39 $978.39 1.0×
Sevierville, TN 1 $31.32 $31.32 $31.32 1.0×
Shawano, WI 1 $164.36 $164.36 $164.36 1.0×
Sheboygan, WI 2 $160.00 $201.77 $243.54 1.5×
Shelbyville, TN 1 $61.48 $61.48 $61.48 1.0×
Sheridan, WY 1 $193.60 $193.60 $193.60 1.0×
Sierra Vista-Douglas, AZ 1 $22.56 $22.56 $22.56 1.0×
Sioux City, IA-NE-SD 1 $160.80 $160.80 $160.80 1.0×
Sioux Falls, SD-MN 3 $131.20 $140.80 $205.60 1.6×
Slidell-Mandeville-Covington, LA 1 $27.02 $27.02 $27.02 1.0×
Somerset, PA 1 $61.80 $61.80 $61.80 1.0×
South Bend-Mishawaka, IN-MI 2 $65.00 $133.00 $201.00 3.1×
Spokane-Spokane Valley, WA 4 $84.70 $194.20 $320.60 3.8×
Springfield, IL 1 $324.72 $324.72 $324.72 1.0×
Springfield, MA 2 $140.00 $190.00 $240.00 1.7×
Springfield, MO 2 $57.20 $57.20 $57.20 1.0×
St. Louis, MO-IL 14 $57.20 $120.08 $285.84 5.0×
St. Marys, PA 1 $73.00 $73.00 $73.00 1.0×
Stephenville, TX 1 $352.50 $352.50 $352.50 1.0×
Sterling, CO 1 $220.96 $220.96 $220.96 1.0×
Stevens Point-Plover, WI 3 $62.70 $157.95 $157.95 2.5×
Storm Lake, IA 1 $156.00 $156.00 $156.00 1.0×
Sturgis, MI 1 $193.05 $193.05 $193.05 1.0×
Susanville, CA 1 $190.53 $190.53 $190.53 1.0×
Syracuse, NY 2 $105.00 $123.50 $142.00 1.4×
Tell City, IN single city 1 $158.20 $158.20 $158.20 1.0×
Tishomingo, OK single city 1 $133.25 $133.25 $133.25 1.0×
Tomahawk, WI single city 1 $157.95 $157.95 $157.95 1.0×
Torrington, WY single city 1 $104.13 $104.13 $104.13 1.0×
Two Harbors, MN single city 1 $199.99 $199.99 $199.99 1.0×
Talladega-Sylacauga, AL 1 $967.00 $967.00 $967.00 1.0×
Tampa-St. Petersburg-Clearwater, FL 9 $102.40 $548.68 $621.40 6.1×
Taos, NM 1 $151.60 $151.60 $151.60 1.0×
Terre Haute, IN 2 $198.00 $233.10 $268.20 1.4×
Tiffin, OH 1 $91.80 $91.80 $91.80 1.0×
Toledo, OH 4 $114.51 $119.20 $177.60 1.6×
Traverse City, MI 3 $47.60 $49.30 $68.00 1.4×
Trenton-Princeton, NJ 2 $124.00 $124.00 $124.00 1.0×
Truckee-Grass Valley, CA 1 $101.00 $101.00 $101.00 1.0×
Tucson, AZ 3 $44.52 $70.77 $81.20 1.8×
Tullahoma-Manchester, TN 1 $61.48 $61.48 $61.48 1.0×
Tulsa, OK 6 $62.86 $165.39 $165.39 2.6×
Tupelo, MS 1 $67.68 $67.68 $67.68 1.0×
Twin Falls, ID 1 $322.00 $322.00 $322.00 1.0×
Union City, TN 1 $71.60 $71.60 $71.60 1.0×
Urban Honolulu, HI 4 $259.20 $317.05 $371.40 1.4×
Urbana, OH 1 $162.00 $162.00 $162.00 1.0×
Valdez, AK single city 1 $163.80 $163.80 $163.80 1.0×
Vinita, OK single city 1 $62.86 $62.86 $62.86 1.0×
Vallejo, CA 1 $168.00 $168.00 $168.00 1.0×
Vermillion, SD 1 $132.00 $132.00 $132.00 1.0×
Vineland, NJ 2 $449.10 $449.10 $449.10 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 5 $20.84 $142.80 $209.27 10.0×
Waldron, AR single city 1 $167.05 $167.05 $167.05 1.0×
Wallingford, CT single city 1 $129.50 $129.50 $129.50 1.0×
Waterbury, CT single city 2 $116.85 $128.43 $140.00 1.2×
Watonga, OK single city 1 $124.15 $124.15 $124.15 1.0×
Waupaca, WI single city 1 $164.36 $164.36 $164.36 1.0×
Wellsboro, PA single city 1 $89.40 $89.40 $89.40 1.0×
Wellsville, NY single city 1 $87.06 $87.06 $87.06 1.0×
West Union, IA single city 1 $54.65 $54.65 $54.65 1.0×
Westbrook, MN single city 1 $133.60 $133.60 $133.60 1.0×
Wheatland, WY single city 1 $183.54 $183.54 $183.54 1.0×
Wheaton, MN single city 1 $164.00 $164.00 $164.00 1.0×
Whitehall, WI single city 1 $93.20 $93.20 $93.20 1.0×
Wild Rose, WI single city 1 $164.36 $164.36 $164.36 1.0×
Winamac, IN single city 1 $162.26 $162.26 $162.26 1.0×
Winchester, IN single city 1 $33.60 $33.60 $33.60 1.0×
Woodruff, WI single city 1 $157.95 $157.95 $157.95 1.0×
Worland, WY single city 1 $148.99 $148.99 $148.99 1.0×
Waco, TX 1 $190.89 $190.89 $190.89 1.0×
Warner Robins, GA 2 $106.00 $106.00 $106.00 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 6 $65.50 $342.50 $342.50 5.2×
Waterloo-Cedar Falls, IA 3 $140.00 $141.00 $160.80 1.1×
Wausau, WI 2 $62.70 $110.33 $157.95 2.5×
Weirton-Steubenville, WV-OH 1 $126.50 $126.50 $126.50 1.0×
Wenatchee-East Wenatchee, WA 1 $61.24 $61.24 $61.24 1.0×
West Plains, MO 1 $131.30 $131.30 $131.30 1.0×
Wheeling, WV-OH 3 $64.50 $72.00 $79.50 1.2×
Whitewater-Elkhorn, WI 1 $140.00 $140.00 $140.00 1.0×
Wichita, KS 1 $74.75 $74.75 $74.75 1.0×
Williamsport, PA 1 $250.80 $250.80 $250.80 1.0×
Williston, ND 1 $37.70 $37.70 $37.70 1.0×
Wisconsin Rapids-Marshfield, WI 2 $62.70 $110.33 $157.95 2.5×
Wooster, OH 1 $211.05 $211.05 $211.05 1.0×
Worcester, MA 4 $71.00 $276.00 $444.00 6.3×
Worthington, MN 1 $136.80 $136.80 $136.80 1.0×
York, NE single city 1 $390.25 $390.25 $390.25 1.0×
York-Hanover, PA 2 $61.80 $87.70 $113.60 1.8×
Yuma, AZ 1 $145.60 $145.60 $145.60 1.0×

Common questions

Who counts as a returning patient?

You are a returning (established) patient if you have seen that clinician or another of the same specialty in the same group within the past three years.

Can the visit end up billed at a different level?

Yes. The level depends on the complexity or total time of the visit, so the final code may be higher or lower than expected.

How much does Medicare pay for CPT 99213 (Returning patient visit, 20 min)?

$136.02 is the single 2026 national base rate Medicare pays a hospital clinic for an office visit of any level, including the patient's share and before the local wage adjustment. The median hospital cash price, $131.30 across 1,189 hospitals, is 1.0× that.

Other doctor visit prices

Median hospital cash price, one per hospital.