How much does office visit, established, level 5 cost in Riverside, CA?
CPT 99215 — the fair price, every hospital's price, and the Medicare benchmark for Riverside, CA.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Eisenhower Medical Center (Rancho Mirage) lowest | 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× | — |
| UCI Medical Center (Orange) | Hospital | $158cash | 0.9× | ★★★★★ |
| Desert Regional Medical Center (Palm Springs) | Hospital | $190cash | 1.1× | — |
| 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× | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $400cash | 2.3× | ★★★★★ |
| Providence St. Joseph Hospital (Orange) | Hospital | $437cash | 2.5× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $510cash | 2.9× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $510cash | 2.9× | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $718cash | 4.1× | — |
- For 99215 (Office visit, established, level 5), Medicare's benchmark rate is $175.64. A fair self-pay target for this line is $338.25. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99215 is $338.25, and negotiated rates at nearby facilities run $72.00–$437.18. 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.
What should 99215 cost in Riverside, CA?
For office visit, established, level 5 (CPT 99215) in Riverside, CA, a fair self-pay price is around $338, with hospitals ranging from $72 to $437 across 15 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 Riverside, CA?
A fair self-pay price for office visit, established, level 5 (CPT 99215) in Riverside, CA is around $338, with hospital prices ranging from $72 to $437 across 15 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.
Compare other procedures in Riverside, CA
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.