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PricedCare

Established patient office visit (about 40 minutes) in Duluth, MN-WI costs $145 to $157. Here's every hospital's price.

4 hospitals in the Duluth, MN-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 Duluth, MN-WI metro area, 4 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $145 at Essentia Health Virginia, the median is $152 and the highest is $157 at Essentia Health Moose Lake.

The Duluth, MN-WI median of $152 is 31% below the national median of $223 across 1053 US hospitals with a cash price for this code.

4 of these hospitals also publish the rates they negotiated with insurers, from $53 to $257. 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 January 2026. 6 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.

$145
lowest cash price in Duluth, MN-WI
Essentia Health Virginia · 16 mi
$7 below the median
$152
median cash price
4 hospitals
1.1×
highest ÷ lowest
same procedure, same metro
4/10
hospitals with a cash price
6 don't · see who

Sorted by cash price

Hospital facility fee only
1
Essentia Health Virginia

Virginia · 16 mi · File Jan 2026

$145
list $231 · lowest of 2 lines
2
Essentia Health St Mary's Medical Center

Duluth · 39 mi · File Jan 2026

$152
list $231 · lowest of 2 lines
3
Essentia Health Northern Pines Medical Center

Aurora · 15 mi · File Jan 2026

$157
list $212 · lowest of 2 lines
4
Essentia Health Moose Lake

Moose Lake · 64 mi · File Jan 2026

$157
list $212 · lowest of 2 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 Duluth, MN-WI 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