Established patient office visit (about 40 minutes) in Appleton, WI costs $109 to $326. Here's every hospital's price.
3 hospitals in the Appleton, WI metro area publish a cash price for established patient office visit (about 40 minutes) (CPT 99215). We read their files every month so you don't have to.
Across the Appleton, WI metro area, 3 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $109 at Ascension Calumet Hospital, the median is $243 and the highest is $326 at Thedacare Regional Medical Center - Appleton INC. The most expensive hospital lists 3.0 times the cheapest for the same code.
The Appleton, WI median of $243 is 9% above the national median of $223 across 1053 US hospitals with a cash price for this code.
2 of these hospitals also publish the rates they negotiated with insurers, from $152 to $319. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.
The files behind these prices are dated between January 2026 and August 2026.
Sorted by cash price
Hospital facility fee onlyChilton · 21 mi · File Jan 2026
Appleton · 3 mi · File Jan 2026
Appleton · 1 mi · File Aug 2026
What's in the price
The hospital facility fee for CPT 99215. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 99215, in writing, and whether it covers facility, physician and anesthesia."
About established patient office visit (about 40 minutes)
CPT 99215 is the highest level of office visit for an established patient: around 40 minutes, high complexity, usually a serious problem or several chronic conditions reviewed at once. It is billed for follow-up visits that involve significant decisions, not for routine check-ins.
What the price covers
When a hospital lists this code, it is the price at a hospital-owned clinic, which may add a facility fee to the clinician's fee. Tests and procedures during the visit are separate.
Established-patient levels
- 99212: about 10 minutes, straightforward
- 99213: about 20 minutes, low complexity (the most common visit)
- 99214: about 30 minutes, moderate complexity
- 99215: about 40 minutes, high complexity (this page)
Most follow-ups are 99213 or 99214. If you are routinely billed 99215 for short visits, ask why.
Why prices vary
Facility fees at hospital-owned practices are the main reason the same visit costs more at some places. Cash prices are often well below gross charges.
Questions to ask
- What is the self-pay price for 99215, and is there a facility fee?
- Which level is typically billed for my follow-ups?
- What is billed separately?