What does code 99215 cost?

Across the published hospital price files, the disclosed cash price for 99215 ranges from $67.15 to $4,423. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

99215 is the billing code hospitals use to identify "HC OUTPT EVAL AND MGNT EST PT LEVEL 5" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

99215

HCPCS

HC OUTPT EVAL AND MGNT EST PT LEVEL 5

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99215 (HC OUTPT EVAL AND MGNT EST PT LEVEL 5) appears at 33 hospitals with disclosed cash prices from $67.15 to $4,423. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

110

Cash

110

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 99215 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 99215 vary by about 66× across the 31 hospitals with disclosed prices here — from $67.15 to $4,423. Shopping around can matter.

Hospitals

127

Prices shown

$67.15

Lowest cash

$4,423

Highest cash

code 99215 cash price110 disclosed · 31 hospitals

$67.15median ~$245$4,423

Lowest cash price by hospital

Munson Healthcare Cadillac$67.15
Kalkaska Memorial Health Center$68.85
Munson Healthcare Manistee Hospital$80.75
Munson Healthcare Charlevoix Hospital$95.20
Paul Oliver Memorial Hospital$116
Munson Medical Center$116

Cash price by city

Reflects your current filters.

Cash price by city$67.15 – $253

Cadillac · 1 hospital$67.15–$253
Kalkaska · 1 hospital$68.85–$184
Manistee · 1 hospital$80.75–$220
Charlevoix · 1 hospital$95.20–$245
Frankfort · 1 hospital$116–$135
Traverse City · 1 hospital$116–$251

127 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OUTPT EVAL AND MGNT EST PT LEVEL 5 Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$841	$841	—	—
HC OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$841	$841	—	—
HC TAVR OUTPT E&M EST PT LEVEL 5 Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$841	$841	—	—
HC PAH OUTPT E&M EST PT LEVEL 5 Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$841	$841	—	—
HC WOUND/OSTOMY CARE EST PT 61-90 MIN Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$560	$560	—	—
EH PR OUTPT EVAL AND MGNT EST PT LEVEL 5 Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$396	$396	—	—
EH PR OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99215 HCPCS	$396	$396	—	—
Office/outpatient visit est Outpatient	Endeavor Health Edward Hospital	99215 HCPCS	—	—	$350 – $350	—
Hc Evaluation And Management Return Patient Level 5 Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Hc Evaluation And Management Return Patient Level 5-Pbb Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Pr Office/Outpatient Established High Mdm 40 Min Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid-Pbb Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Estab Pt Subsequent Prenatal Visit 99215 Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Estab Pt Subsequent Prenatal Visit 99215-Pbb Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Pr Office/Outpatient Established High Mdm 40 Min-Pbb Inpatient & outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
Office/outpatient visit est Outpatient	University of Chicago Medical Center	99215 HCPCS	—	—	—	—
OP SERV COMP ACUITY-EST PT Outpatient	Advocate Illinois Masonic Medical Center	99215 CPT	$415	$208	$105 – $338	—
HB LEVEL 5 EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99215 HCPCS	$465	$465	—	—
HB LEVEL 5 COLPOSCOPY EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99215 HCPCS	$465	$465	—	—
HB OPD LEVEL 5 EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99215 HCPCS	$465	$465	—	—
OSTM OP SERV COMP ACUITY-EST PT Outpatient	Advocate Condell Medical Center	99215 CPT	$415	$208	$113 – $332	—
OP SERV COMP ACUITY-EST PT Outpatient	Advocate Condell Medical Center	99215 CPT	$415	$208	$105 – $332	—
OSTM OP SERV COMP ACUITY-EST PT Outpatient	Advocate Good Samaritan Hospital	99215 CPT	$415	$208	$84.00 – $332	—
OP SERV COMP ACUITY-EST PT Outpatient	Advocate Good Samaritan Hospital	99215 CPT	$415	$208	$105 – $332	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 99215 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Endeavor Health Swedish Hospital Advocate Condell Medical Center Advocate Good Samaritan Hospital Advocate South Suburban Hospital Springfield Memorial Hospital Decatur Memorial Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Kalkaska Memorial Health Center Paul Oliver Memorial Hospital Munson Healthcare Grayling Munson Healthcare Cadillac Munson Medical Center Three Rivers Health Providence Alaska Medical Center Providence Kodiak Island Medical Center Providence Valdez Medical Center Healdsburg Hospital Providence St Joseph Medical Center Jefferson Abington Hospital

Code 99215: frequently asked

What does code 99215 cost?: Across the published hospital price files, the disclosed cash price for 99215 ranges from $67.15 to $4,423. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 99215?: 99215 is the billing code hospitals use to identify "HC OUTPT EVAL AND MGNT EST PT LEVEL 5" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 99215 by state

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