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PricedCare

Established patient office visit (about 40 minutes) in Detroit, MI costs $86 to $374. Here's every hospital's price.

13 hospitals in the Detroit-Warren-Dearborn, MI 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 Detroit-Warren-Dearborn, MI metro area, 13 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $86 at Mclaren Lapeer Region, the median is $179 and the highest is $374 at Sinai-Grace Hospital. The most expensive hospital lists 4.3 times the cheapest for the same code.

The Detroit, MI median of $179 is 35% below the national median of $275 across 391 US hospitals with a cash price for this code.

16 of these hospitals also publish the rates they negotiated with insurers, from $1 to $507. 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 December 2025 and September 2026. 18 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$86
lowest cash price in Detroit, MI
Mclaren Lapeer Region · 24 mi
$93 below the median
$179
median cash price
13 hospitals
4.3×
highest ÷ lowest
same procedure, same metro
13/36
hospitals with a cash price
18 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mclaren Lapeer Region

Lapeer · 24 mi · File Dec 2025

$86
list $172 · lowest of 5 lines
2
Mclaren Oakland

Pontiac · 7 mi · File Dec 2025

$97
list $194 · lowest of 4 lines
3
Mclaren Port Huron

Port Huron · 43 mi · File Dec 2025

$97
list $194 · lowest of 4 lines
4
Mclaren Macomb

Mount Clemens · 18 mi · File Dec 2025

$97
list $194 · lowest of 4 lines
5
Henry Ford Health Warren Hospital

Warren · 18 mi · File Jan 2026

$118
list $210 · lowest of 2 lines
6
Surgeons Choice Medical Center

Southfield · 18 mi · File May 2026

$160
list $160 · lowest of 3 lines
7
Henry Ford Macomb Hospital

Clinton Township · 14 mi · File Jun 2026

$179
list $99 · lowest of 10 lines
8
Henry Ford Health Hospital

Detroit · 25 mi · File Jun 2026

$179
list $99 · lowest of 10 lines
9
Wyandotte Hospital and Medical Center

Wyandotte · 35 mi · File Jun 2026

$179
list $99 · lowest of 10 lines
10
Henry Ford Health West Bloomfield Hospital

W Bloomfield · 16 mi · File Jun 2026

$179
list $99 · lowest of 10 lines
11
Karmanos Cancer Center

Detroit · 27 mi · File Dec 2025

$188
list $375
12
Detroit Receiving Hospital

Detroit · 27 mi · File Apr 2026

$279
list $372 · lowest of 14 lines
1

What's in the price

The hospital facility fee for CPT 99215. The doctor, anesthesia and lab work usually bill separately.

2

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.

3

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?

Hospitals in Detroit, MI without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask