How much does Established patient office visit, low complexity cost in richmond?

CPT 99213 โ€” the fair price, every hospital's price, and the Medicare benchmark for richmond.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
99213 Established patient office visit, low complexity
Market typical price
$194
9 facilities ยท typical range $138 โ€“ $282 ยท 2.2ร— Medicare PFS
What Medicare paysโ“˜
$89
Market typical
$194
Cash / self-pay price
$194
Prices near you โ€” 9 facilities, lowest first
FacilityTypePricevs MedicareQuality
Bon Secours St. Francis Medical Center (Midlothian) lowest Hospital $116cash 1.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.0%
Bon Secours Memorial Regional Medical Center (Mechanicsville) Hospital $116cash 1.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Henrico Doctors' Hospital, Forest campus (Richmond) Hospital $160cash 1.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Retreat Doctors' Hospital (Richmond) Hospital $160cash 1.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Chippenham Hospital, CJW Medical Center (Richmond) Hospital $194cash 2.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
Bon Secours Southside Medical Center (Petersburg) Hospital $258cash 2.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Bon Secours St. Mary's Hospital (Richmond) Hospital $268cash 3.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 2.8%
Parham Doctors' Hospital โ€” ortho/spine-focused campus (Richmond) Hospital $296cash 3.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Johnston-Willis Hospital, CJW Medical Center (Richmond) Hospital $309cash 3.5ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges.
See Established patient office visit, low complexity prices in another area

What should 99213 cost in richmond?

For Established patient office visit, low complexity (CPT 99213) in richmond, a fair self-pay price is around $194, with hospitals ranging from $138 to $282 across 9 facilities. Medicare's benchmark rate is $89, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does Established patient office visit, low complexity cost in richmond?

A fair self-pay price for Established patient office visit, low complexity (CPT 99213) in richmond is around $194, with hospital prices ranging from $138 to $282 across 9 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 99213?

Medicare pays about $89 for Established patient office visit, low complexity (CPT 99213). That's the negotiation floor โ€” a fair cash-pay target is roughly 1.5โ€“2ร— it, well below typical gross charges.

Can I negotiate the price of Established patient office visit, low complexity?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

Compare other procedures in richmond

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.