Established patient office visit (about 40 minutes) in Milledgeville, GA: hospital prices
One hospital in the Milledgeville, GA metro area prices CPT 99215 in its files, but fewer than three list a cash price, so we show the rows without a ranking.
One hospital in the Milledgeville, GA metro area lists established patient office visit (about 40 minutes) (CPT 99215) in its price file, but only as a list price or negotiated insurer rates, not as a cash price. Hospitals must publish a discounted cash price for every shoppable service; where it is missing you can still ask for one by phone.
Sorted by cash price
Hospital facility fee onlyWhat'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?