What does code 99213 cost?

Across the published hospital price files, the disclosed cash price for 99213 ranges from $47.60 to $1,409. 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.

99213 is the billing code hospitals use to identify "HC OUTPT EVAL AND MGNT EST PT LEVEL 3" 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.

99213

HCPCS

HC OUTPT EVAL AND MGNT EST PT LEVEL 3

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99213 (HC OUTPT EVAL AND MGNT EST PT LEVEL 3) appears at 31 hospitals with disclosed cash prices from $47.60 to $1,409. 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

107

Cash

107

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 99213 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 99213 vary by about 30× across the 29 hospitals with disclosed prices here — from $47.60 to $1,409. Shopping around can matter.

Hospitals

134

Prices shown

$47.60

Lowest cash

$1,409

Highest cash

code 99213 cash price107 disclosed · 29 hospitals

$47.60median ~$139$1,409

Lowest cash price by hospital

Kalkaska Memorial Health Center$47.60
Munson Healthcare Charlevoix Hospital$50.15
Munson Healthcare Cadillac$67.15
Paul Oliver Memorial Hospital$68.00
Providence St Joseph Medical Center$88.00
Froedtert Menomonee Falls Hospital$98.45

Cash price by city

Reflects your current filters.

Cash price by city$47.60 – $150

Kalkaska · 1 hospital$47.60–$123
Charlevoix · 1 hospital$50.15–$139
Cadillac · 1 hospital$67.15–$141
Frankfort · 1 hospital$68.00–$116
Polson · 1 hospital$88.00–$150
Menomonee Falls · 1 hospital$98.45

134 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OUTPT EVAL AND MGNT EST PT LEVEL 3 Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$429	$429	—	—
HC OUTPT EVAL AND MGNT EST PT LEVEL 3 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$429	$429	—	—
HC TAVR OUTPT E&M EST PT LEVEL 3 Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$429	$429	—	—
HC PAH OUTPT E&M EST PT LEVEL 3 Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$429	$429	—	—
HC WOUND/OSTOMY CARE EST PT 26-40 MIN Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$287	$287	—	—
EH PR OUTPT EVAL AND MGNT EST PT LEVEL 3 Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$203	$203	—	—
EH PR OUTPT EVAL AND MGNT EST PT LEVEL 3 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99213 HCPCS	$203	$203	—	—
Office/outpatient visit est Outpatient	Endeavor Health Edward Hospital	99213 HCPCS	—	—	$162 – $162	—
Hc Evaluation And Management Return Patient Level 3 Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Hc Evaluation And Management Return Patient Level 3-Pbb Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Hc Dmpr-Cosmetic Consult Cash Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Hc Dmpr-Cosmetic Consult Cash-Csm,Pbb Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Hc Dmpr-Cosmetic Consult Cash-Pbb Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Hc Derm Executive Health Visit Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Pr Office/Outpatient Established Low Mdm 20 Min Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid-Pbb Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Estab Pt Subsequent Prenatal Visit 99213 Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Estab Pt Subsequent Prenatal Visit 99213-Pbb Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Pr Office/Outpatient Established Low Mdm 20 Min-Pbb Inpatient & outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
Office/outpatient visit est Outpatient	University of Chicago Medical Center	99213 HCPCS	—	—	—	—
HB LEVEL 3 EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99213 HCPCS	$318	$318	—	—
HB LEVEL 3 COLPOSCOPY EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99213 HCPCS	$318	$318	—	—
HB OPD LEVEL 3 EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99213 HCPCS	$318	$318	—	—
OP SERV MOD ACUITY-EST PT Outpatient	Advocate Good Samaritan Hospital	99213 CPT	$295	$148	$103 – $236	—

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 99213 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 Endeavor Health Swedish Hospital 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 Cadillac Munson Medical Center Three Rivers Health Providence Alaska Medical Center Providence Kodiak Island Medical Center Providence Seward Hospital Providence Valdez Medical Center Healdsburg Hospital Providence St Joseph Medical Center Jefferson Abington Hospital

Code 99213: frequently asked

What does code 99213 cost?: Across the published hospital price files, the disclosed cash price for 99213 ranges from $47.60 to $1,409. 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 99213?: 99213 is the billing code hospitals use to identify "HC OUTPT EVAL AND MGNT EST PT LEVEL 3" 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