Established patient office visit (about 40 minutes) in Milwaukee, WI costs $179 to $426. Here's every hospital's price.
9 hospitals in the Milwaukee-Waukesha, 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 Milwaukee-Waukesha, WI metro area, 9 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $179 at Childrens Hospital of Wisconsin, the median is $333 and the highest is $426 at Ascension Columbia St Marys Hospital Milwaukee. The most expensive hospital lists 2.4 times the cheapest for the same code.
The Milwaukee, WI median of $333 is 21% above the national median of $275 across 391 US hospitals with a cash price for this code.
9 of these hospitals also publish the rates they negotiated with insurers, from $65 to $713. 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 November 2025 and March 2026. 9 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.
Sorted by cash price
Hospital facility fee onlyMilwaukee · 12 mi · File Mar 2026
Summit · 32 mi · File Nov 2025
Grafton · 29 mi · File Nov 2025
Milwaukee · 7 mi · File Nov 2025
Hartford · 38 mi · File Nov 2025
Milwaukee · 6 mi · File Jan 2026
Milwaukee · 13 mi · File Jan 2026
Franklin · 6 mi · File Jan 2026
Milwaukee · 10 mi · File Jan 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?
Hospitals in Milwaukee, WI without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Ascension Wisconsin Hosp Menomonee Falls CampusFile found, not read yet
- Community Memorial HospitalWebsite blocks automated reading
- Froedtert Community HospitalWebsite blocks automated reading
- Froedtert Memorial Lutheran HospitalWebsite blocks automated reading
- Oconomowoc Memorial HospitalWebsite blocks automated reading
- Orthopaedic Hospital of Wisconsincode not in file
- St Josephs Community Hospital West BendWebsite blocks automated reading
- Waukesha Memorial HospitalWebsite blocks automated reading
- West Allis Memorial HospitalFile found, not read yet