Established patient office visit (about 40 minutes) in Providence, RI-MA costs $300 to $453. Here's every hospital's price.
4 hospitals in the Providence-Warwick, RI-MA 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 Providence-Warwick, RI-MA metro area, 4 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $300 at Saint Anne's Hospital, the median is $401 and the highest is $453 at Southcoast Hospitals Group.
The Providence, RI-MA median of $401 is 49% above the national median of $269 across 401 US hospitals with a cash price for this code.
5 of these hospitals also publish the rates they negotiated with insurers, from $28 to $748. 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 December 2025 and July 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 onlyProvidence · 10 mi · File Apr 2026
Providence · 12 mi · File Apr 2026
Fall River · 7 mi · File Dec 2025
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 Providence, RI-MA without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Brown University Health Morton HospitalNo price file found
- Kent County Memorial HospitalFile found, not read yet
- Landmark Medical CenterNo price file found
- Newport HospitalFile found, not read yet
- Our Lady of Fatima HospitalNo price file found
- Roger Williams Medical CenterNo price file found
- Sturdy Memorial HospitalWebsite blocks automated reading
- Westerly HospitalWebsite blocks automated reading
- Women & Infants Hospital of Rhode IslandFile found, not read yet