Price Checker / CPT 99212
How much does Office visit — short (established patient) cost?
CPT 99212 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about above the fair price. You have grounds to ask for a reduction.
Fair price
$210–$250
What this should cost
With insurance
~$303,500
Typical out-of-pocket
Overcharged if over
$310
Push back above this
The average hospital charge of $330 is $100 over the fair price.
What hospitals charge for Office visit — short (established patient)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| PeaceHealth Peace Harbor Medical Center , OR | $355 | — | 9732% |
| PeaceHealth Ketchikan Medical Center KETCHIKAN, AK | $219 | — | 9529% |
| Columbus Springs Dublin , OH | $2,921 | — | 4813% |
| Rainier Springs VANCOUVER, WA | $75 | — | 2196% |
| Copper Springs , AZ | $75 | — | 1895% |
| Iroquois Memorial Hospital WATSEKA, IL | $365 | $255 | 513% |
| Connally Memorial Health Centers - Main Campus Floresville, TX | $102 | — | 270% |
| Connally Memorial Health Centers - North Campus Floresville, TX | $102 | — | 217% |
| UPMC Western Psychiatric , PA | $165 | $132 | 178% |
| Connally Memorial Health Centers - La Vernia Campus Floresville, TX | $102 | — | 162% |
| Barnes-Kasson County Hospital SUSQUEHANNA, PA | $125 | $88 | 110% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $120 | $96 | 102% |
| Pathways Behavioral Health Services , TN | $103 | $103 | 73% |
| Highland Springs LLC BEACHWOOD, OH | $75 | $950 | 26% |
| Molokai General Hospital KAUNAKAKAI, HI | $326 | — | 17% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Office visit — short (established patient)
CPT code 99212 refers to office visit — short (established patient) (billing description: "Office o/p est sf 10 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $31 in a facility (hospital or surgery center) and $59 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.