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PricedCare

Established patient office visit (about 40 minutes) in New York, NY-NJ costs $89 to $11,652. Here's every hospital's price.

31 hospitals in the New York-Newark-Jersey City, NY-NJ 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 New York-Newark-Jersey City, NY-NJ metro area, 31 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $89 at Hunterdon Medical Center, the median is $444 and the highest is $11,652 at SUNY/Downstate University Hospital of Brooklyn. The most expensive hospital lists 131 times the cheapest for the same code.

The New York, NY-NJ median of $444 is 111% above the national median of $211 across 1192 US hospitals with a cash price for this code.

47 of these hospitals also publish the rates they negotiated with insurers, from $2 to $17,120. 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 July 2024 and September 2026. 61 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.

$89
lowest cash price in New York, NY-NJ
Hunterdon Medical Center · 57 mi
$355 below the median
$444
median cash price
31 hospitals
131×
highest ÷ lowest
same procedure, same metro
31/110
hospitals with a cash price
61 don't · see who

Sorted by cash price

Hospital facility fee only
1
Hunterdon Medical Center

Flemington · 57 mi · File Feb 2026

$89
list $284 · lowest of 11 lines
2
Montefiore New Rochelle Hospital

New Rochelle · 12 mi · File Sep 2026

$153
list $235
3
Morristown Medical Center

Morristown · 35 mi · File Apr 2026

$170
list $526 · lowest of 18 lines
4
Chilton Medical Center

Pompton Plains · 30 mi · File Apr 2026

$170
list $526 · lowest of 5 lines
5
Newton Medical Center

Newton · 54 mi · File Apr 2026

$170
list $564 · lowest of 5 lines
6
Overlook Medical Center

Summit · 29 mi · File Apr 2026

$170
list $526 · lowest of 20 lines
7
Centrastate Medical Center

Freehold · 43 mi · File Apr 2026

$170
list $190 · lowest of 3 lines
8
NYU Langone Hospitals

New York · 9 mi · File Jan 2026

$212
list $1,115 · lowest of 15 lines
9
St Joseph's Medical Center

Yonkers · 14 mi · File Mar 2026

$217
list $394
10
Putnam Hospital Center

Carmel · 45 mi · File Apr 2026

$347
list $347 · lowest of 3 lines
11
New York Community Hospital of Brooklyn, INC.

Brooklyn · 11 mi · File Apr 2026

$400
list $400 · lowest of 4 lines
12
Bronxcare Hospital Center

Bronx · 8 mi · File May 2026

$404
list $404 · lowest of 22 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 New York, NY-NJ 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