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PricedCare

Established patient office visit (about 40 minutes) in Philadelphia, PA-NJ-DE-MD costs $79 to $1,232. Here's every hospital's price.

9 hospitals in the Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metro area, 9 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $79 at Pottstown Hospital, the median is $115 and the highest is $1,232 at Children's Hospital of Philadelphia. The most expensive hospital lists 16 times the cheapest for the same code.

The Philadelphia, PA-NJ-DE-MD median of $115 is 58% below the national median of $275 across 391 US hospitals with a cash price for this code.

21 of these hospitals also publish the rates they negotiated with insurers, from $29 to $3,895. 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 September 2025 and September 2026. 27 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.

$79
lowest cash price in Philadelphia, PA-NJ-DE-MD
Pottstown Hospital · 29 mi
$36 below the median
$115
median cash price
9 hospitals
16×
highest ÷ lowest
same procedure, same metro
9/51
hospitals with a cash price
27 don't · see who

Sorted by cash price

Hospital facility fee only
1
Pottstown Hospital

Pottstown · 29 mi · File Jun 2026

$79
list $317 · lowest of 24 lines
2
Phoenixville Hospital

Phoenixville · 19 mi · File Jun 2026

$79
list $317 · lowest of 24 lines
3
Holy Redeemer Hospital and Medical Center

Meadowbrook · 19 mi · File Sep 2025

$100
list $251 · lowest of 12 lines
4
Virtua Our Lady of Lourdes Hospital

Camden · 12 mi · File Apr 2026

$115
list $1,152 · lowest of 2 lines
5
Virtua Mount Holly Hospital

Mount Holly · 28 mi · File Apr 2026

$115
list $1,152
6
Virtua Willingboro Hospital

Willingboro · 25 mi · File Apr 2026

$115
list $1,152
7
Nemours Children's Hospital, Delaware

Wilmington · 15 mi · File Mar 2026

$144
list $144 · lowest of 3 lines
8
St Christopher's Hospital for Children

Philadelphia · 12 mi · File Jun 2026

$156
list $311 · lowest of 4 lines
9
St Francis Hospital

Wilmington · 17 mi · File Mar 2026

$295
list $295 · lowest of 2 lines
10
St Mary Medical Center

Langhorne · 29 mi · File Mar 2026

$306
list $306 · lowest of 2 lines
11
Mercy Catholic Medical Center- Mercy Fitzgerald

Darby · 3 mi · File Mar 2026

$310
list $310 · lowest of 3 lines
12
Shriners Hospitals for Children - Philadelphia

Philadelphia · 11 mi · File Mar 2026

$409
list $409 · 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 Philadelphia, PA-NJ-DE-MD 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