How much does office visit, established, level 5 cost in Salt Lake City, UT?
CPT 99215 — the fair price, every hospital's price, and the Medicare benchmark for Salt Lake City, UT.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Holy Cross Hospital - Salt Lake (Salt Lake City) lowest | Hospital | $133negotiated | 0.8× | ★★★★★ |
| Holy Cross Hospital - Jordan Valley (West Jordan) | Hospital | $133negotiated | 0.8× | ★★★★★ |
| University of Utah Hospital & Huntsman Cancer (Salt Lake City) | Hospital | $136cash | 0.8× | ★★★★★ |
| Ashley Regional Medical Center (Vernal) | Hospital | $191cash | 1.1× | ★★★★★ |
| Intermountain Park City Hospital (Park City) | Hospital | $228cash | 1.3× | ★★★★★ |
| Intermountain Alta View Hospital (Sandy) | Hospital | $251cash | 1.4× | ★★★★★ |
| Primary Children's Hospital (Salt Lake City) | Hospital | $295cash | 1.7× | — |
| St. Mark's Hospital (Salt Lake City) | Hospital | $329cash | 1.9× | ★★★★★ |
| Intermountain Medical Center (Murray) | Hospital | $404cash | 2.3× | ★★★★★ |
| LDS Hospital (Salt Lake City) | Hospital | $404cash | 2.3× | ★★★★★ |
| Intermountain Riverton Hospital (Riverton) | Hospital | $404cash | 2.3× | ★★★★★ |
| Uintah Basin Medical Center (Roosevelt) | Hospital | $717cash | 4.1× | ★★★★★ |
| Lakeview Hospital (Bountiful) gross charge | Hospital | $1,594cash | 9.1× | ★★★★★ |
| Lone Peak Hospital (Draper) gross charge | Hospital | $5,474cash | 31.2× | ★★★★★ |
- For 99215 (Office visit, established, level 5), Medicare's benchmark rate is $175.64. A fair self-pay target for this line is $351.28. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99215 is $366.42, and negotiated rates at nearby facilities run $177.40–$482.14. 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 Salt Lake City, UT?
For office visit, established, level 5 (CPT 99215) in Salt Lake City, UT, a fair self-pay price is around $273, with hospitals ranging from $177 to $482 across 14 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 Salt Lake City, UT?
A fair self-pay price for office visit, established, level 5 (CPT 99215) in Salt Lake City, UT is around $273, with hospital prices ranging from $177 to $482 across 14 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 Salt Lake City, UT
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.