How much does office visit, established, level 5 cost in California?
CPT 99215 — the fair price, every hospital's price, and the Medicare benchmark for California.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99215 Office visit, established, level 5
Ask to pay
$280
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$201
Medicare $176
Ask $280
$42 lowboxed = typical rangehigh $4,710
What Medicare paysⓘ
$176
Typical price near you
$201
Cash / self-pay price
$280
Prices near you — 64 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Adventist Health Bakersfield (Bakersfield) lowest ⚠ likely error | Hospital | $42cash | 0.2× | — |
| Adventist Health Glendale (Glendale) | Hospital | $45cash | 0.3× | ★★★★★ |
| Adventist Health White Memorial (Los Angeles) | Hospital | $53cash | 0.3× | — |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $57negotiated | 0.3× | ★★★★★ |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $57negotiated | 0.3× | ★★★★★ |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $66cash | 0.4× | ★★★★★ |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $72cash | 0.4× | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $72cash | 0.4× | — |
| UCI Health – Placentia Linda (Placentia) | Hospital | $72cash | 0.4× | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $80cash | 0.5× | — |
| Centinela Hospital Medical Center (Inglewood) | Hospital | $82negotiated | 0.5× | — |
| Lucile Packard Children's Hospital Stanford (Palo Alto) | Hospital | $89cash | 0.5× | — |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $106cash | 0.6× | ★★★★★ |
| UCSF Medical Center (San Francisco) | Hospital | $115cash | 0.7× | ★★★★★ |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) | Hospital | $122cash | 0.7× | — |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $122negotiated | 0.7× | — |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $122negotiated | 0.7× | ★★★★★ |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $134cash | 0.8× | — |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $143cash | 0.8× | — |
| UC Davis Medical Center (Sacramento) | Hospital | $148cash | 0.8× | ★★★★★ |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $157cash | 0.9× | — |
| UCI Medical Center (Orange) | Hospital | $158cash | 0.9× | ★★★★★ |
| USC Arcadia Hospital (Arcadia) | Hospital | $167cash | 0.9× | — |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $176cash | 1.0× | — |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $188cash | 1.1× | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $190cash | 1.1× | — |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $196cash | 1.1× | ★★★★★ |
| Clovis Community Medical Center (Clovis) | Hospital | $200negotiated | 1.1× | — |
| Community Regional Medical Center (Fresno) | Hospital | $200negotiated | 1.1× | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $201cash | 1.1× | ★★★★★ |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $201cash | 1.1× | — |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $201cash | 1.1× | — |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $201cash | 1.1× | ★★★★★ |
| Tri-City Medical Center (Oceanside) | Hospital | $260cash | 1.5× | — |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $274cash | 1.6× | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $280cash | 1.6× | — |
| Natividad Medical Center (Salinas) | Hospital | $323cash | 1.8× | — |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $324cash | 1.8× | — |
| JFK Memorial Hospital (Indio) | Hospital | $338cash | 1.9× | — |
| Providence Mission Hospital (Mission Viejo) | Hospital | $352cash | 2.0× | ★★★★★ |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $363cash | 2.1× | — |
| Rady Children's Hospital (San Diego) | Hospital | $375cash | 2.1× | — |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $386cash | 2.2× | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $400cash | 2.3× | ★★★★★ |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $430cash | 2.4× | ★★★★★ |
| Providence St. Joseph Hospital (Orange) | Hospital | $437cash | 2.5× | ★★★★★ |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $499cash | 2.8× | — |
| John Muir Health Concord Medical Center (Concord) | Hospital | $502cash | 2.9× | — |
| Stanford Health Care (Stanford) | Hospital | $502cash | 2.9× | ★★★★★ |
| John Muir Health Walnut Creek Medical Center (Walnut Creek) | Hospital | $503cash | 2.9× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $510cash | 2.9× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $510cash | 2.9× | ★★★★★ |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $510cash | 2.9× | ★★★★★ |
| Sharp Memorial Hospital (San Diego) | Hospital | $530cash | 3.0× | ★★★★★ |
| Sharp Coronado Hospital (Coronado) | Hospital | $556cash | 3.2× | ★★★★★ |
| Sharp Chula Vista Medical Center (Chula Vista) | Hospital | $556cash | 3.2× | — |
| Kaweah Health Medical Center (Visalia) | Hospital | $586cash | 3.3× | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $606cash | 3.5× | — |
| Riverside Community Hospital (Riverside) | Hospital | $718cash | 4.1× | — |
| Dignity Dominican Hospital (Santa Cruz) gross charge | Hospital | $2,083cash | 11.9× | — |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $2,607cash | 14.8× | — |
| Good Samaritan Hospital (San Jose) gross charge | Hospital | $2,768cash | 15.8× | — |
| Cedars-Sinai Medical Center (Los Angeles) gross charge | Hospital | $4,633cash | 26.4× | ★★★★★ |
| Sharp Grossmont Hospital (La Mesa) gross charge | Hospital | $4,710cash | 26.8× | ★★★★★ |
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. 6 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 99215 (Office visit, established, level 5), Medicare's benchmark rate is $175.64. A fair self-pay target for this line is $280.33. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99215 is $280.33, and negotiated rates at nearby facilities run $122.25–$502.37. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See office visit, established, level 5 prices in another area
What should 99215 cost in California?
For office visit, established, level 5 (CPT 99215) in California, a fair self-pay price is around $201, with hospitals ranging from $122 to $502 across 64 facilities. Medicare's benchmark rate is $176, 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 office visit, established, level 5 cost in California?
A fair self-pay price for office visit, established, level 5 (CPT 99215) in California is around $201, with hospital prices ranging from $122 to $502 across 64 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99215?
Medicare pays about $176 for office visit, established, level 5 (CPT 99215). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of office visit, established, level 5?
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 — free.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.