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PricedCare

Established patient office visit (about 40 minutes) in Pittsburgh, PA costs $78 to $573. Here's every hospital's price.

12 hospitals in the Pittsburgh, PA 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 Pittsburgh, PA metro area, 12 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $78 at Heritage Valley Beaver, the median is $227 and the highest is $573 at UPMC Passavant. The most expensive hospital lists 7.3 times the cheapest for the same code.

The Pittsburgh, PA median of $227 is 17% below the national median of $275 across 391 US hospitals with a cash price for this code.

13 of these hospitals also publish the rates they negotiated with insurers, from $27 to $888. 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 February 2026 and March 2026. 18 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.

$78
lowest cash price in Pittsburgh, PA
Heritage Valley Beaver · 29 mi
$149 below the median
$227
median cash price
12 hospitals
7.3×
highest ÷ lowest
same procedure, same metro
12/31
hospitals with a cash price
18 don't · see who

Sorted by cash price

Hospital facility fee only
1
Heritage Valley Beaver

Beaver · 29 mi · File Mar 2026

$78
list $290
2
Heritage Valley Sewickley

Sewickley · 17 mi · File Mar 2026

$78
list $290
3
Penn Highlands Mon Valley

Monongahela · 20 mi · File Feb 2026

$81
list $135 · lowest of 12 lines
4
UPMC Presbyterian Shadyside

Pittsburgh · 5 mi · File Mar 2026

$200
list $334 · lowest of 4 lines
5
UPMC Mercy

Pittsburgh · 7 mi · File Mar 2026

$202
list $336 · lowest of 2 lines
6
Magee Womens Hospital of UPMC Health System

Pittsburgh · 6 mi · File Mar 2026

$227
list $379 · lowest of 2 lines
7
UPMC East

Monroeville · 6 mi · File Mar 2026

$254
list $423 · lowest of 2 lines
8
UPMC Jameson

New Castle · 45 mi · File Mar 2026

$269
list $448 · lowest of 2 lines
9
UPMC St Margaret

Pittsburgh · 2 mi · File Mar 2026

$271
list $452 · lowest of 2 lines
10
UPMC Children's Hospital of Pittsburgh

Pittsburgh · 5 mi · File Mar 2026

$291
list $485 · lowest of 2 lines
11
UPMC Mckeesport Hospital

Mc Keesport · 8 mi · File Mar 2026

$413
list $689 · lowest of 2 lines
12
UPMC Passavant

Pittsburgh · 11 mi · File Mar 2026

$573
list $955 · 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 Pittsburgh, PA 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