Skip to main content
PricedCare

Established patient office visit (about 40 minutes) in St. Louis, MO-IL costs $113 to $519. Here's every hospital's price.

17 hospitals in the St. Louis, MO-IL 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 St. Louis, MO-IL metro area, 17 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $113 at Mercy Hospital Jefferson, the median is $184 and the highest is $519 at Hshs Holy Family Hospital INC. The most expensive hospital lists 4.6 times the cheapest for the same code.

The St. Louis, MO-IL median of $184 is 31% below the national median of $269 across 401 US hospitals with a cash price for this code.

17 of these hospitals also publish the rates they negotiated with insurers, from $11 to $10,672. 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 March 2026 and June 2026. 19 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.

$113
lowest cash price in St. Louis, MO-IL
Mercy Hospital Jefferson · 38 mi
$71 below the median
$184
median cash price
17 hospitals
4.6×
highest ÷ lowest
same procedure, same metro
17/36
hospitals with a cash price
19 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$113
list $174 · lowest of 12 lines
2
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$113
list $174 · lowest of 16 lines
3
Mercy Hospital South

Saint Louis · 16 mi · File Jun 2026

$165
list $254 · lowest of 8 lines
4
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$181
list $279 · lowest of 16 lines
5
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$184
list $335 · lowest of 4 lines
6
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$184
list $335 · lowest of 4 lines
7
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$184
list $335 · lowest of 3 lines
8
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$184
list $335 · lowest of 4 lines
9
Ssm St Joseph Hospital West

Lake Saint Louis · 24 mi · File Apr 2026

$184
list $335 · lowest of 3 lines
10
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

$188
list $314 · lowest of 6 lines
11
Hshs St Elizabeth's Hospital

O Fallon · 25 mi · File Mar 2026

$264
list $367 · lowest of 4 lines
12
St Josephs Hospital

Breese · 45 mi · File Mar 2026

$275
list $382 · 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 St. Louis, MO-IL 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