Skip to main content
PricedCare

Established patient office visit (about 40 minutes) in Sacramento, CA costs $134 to $482. Here's every hospital's price.

5 hospitals in the Sacramento-Roseville-Folsom, CA 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 Sacramento-Roseville-Folsom, CA metro area, 5 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $134 at Woodland Memorial Hospital, the median is $141 and the highest is $482 at Shriners Hospitals for Children Northern Calif. The most expensive hospital lists 3.6 times the cheapest for the same code.

The Sacramento, CA median of $141 is 48% below 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 $26 to $3,783. 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. 11 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.

$134
lowest cash price in Sacramento, CA
Woodland Memorial Hospital · 43 mi
$7 below the median
$141
median cash price
5 hospitals
3.6×
highest ÷ lowest
same procedure, same metro
5/16
hospitals with a cash price
11 don't · see who

Sorted by cash price

Hospital facility fee only
1
Woodland Memorial Hospital

Woodland · 43 mi · File Feb 2026

$134
list $488 · lowest of 2 lines
2
Mercy San Juan Medical Center

Carmichael · 19 mi · File Feb 2026

$134
list $488 · lowest of 2 lines
3
Methodist Hospital of Sacramento

Sacramento · 32 mi · File Feb 2026

$141
list $488 · lowest of 2 lines
4
Mercy Hospital of Folsom

Folsom · 11 mi · File Feb 2026

$190
list $488 · lowest of 2 lines
5
Shriners Hospitals for Children Northern Calif

Sacramento · 29 mi · File Mar 2026

$482
list $482 · lowest of 14 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 Sacramento, CA 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