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Established Patient Office Visit (level 4) cost at US hospitals

Office visit, established patient, moderate complexity · CPT 99214

What is Established Patient Office Visit (level 4)? Read the full explainer →

Established Patient Office Visit (level 4)

This level covers an established patient visit of moderate complexity — a chronic condition that has flared, several long-term conditions managed together, or a new problem serious enough to need real weighing up. It usually involves prescription decisions and outside records or results, and it is the second-highest of the five levels.

Read the full explanation →

$31.80

lowest cash price

$239.25

national median

$2,376.92

highest cash price

668

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $31.80–$2,376.92 — the variation is the story.

Cheapest published cash price

$31.80

ST HELENA HOSPITAL — Vallejo, CA

Most expensive published cash price

$2,376.92

Sequoia Hospital — Redwood City, CA

Median cash price over time

Aug 1, 2025 ($243.55) → Sep 1, 2026 ($271.80)

By state

State Hospitals Lowest cash Median Highest
Alaska 3 $334.62 $334.62 $1,613.04
Arizona 19 $94.36 $1,644.83 $2,204.48
Arkansas 10 $77.43 $187.85 $391.00
California 46 $31.80 $161.16 $2,376.92
Colorado 10 $529.82 $529.82 $788.38
Florida 74 $117.29 $650.55 $1,737.00
Georgia 25 $109.52 $168.09 $1,093.37
Hawaii 2 $61.76 $61.76 $239.25
Illinois 48 $112.50 $281.40 $505.44
Indiana 19 $34.30 $384.60 $1,046.40
Iowa 29 $107.94 $192.00 $803.00
Kansas 9 $137.20 $263.20 $829.07
Kentucky 15 $104.20 $296.40 $695.40
Louisiana 2 $190.06 $190.06 $190.06
Maine 7 $243.55 $360.30 $701.80
Maryland 1 $146.40 $146.40 $146.40
Michigan 26 $73.92 $180.48 $301.60
Minnesota 17 $70.78 $205.25 $680.80
Mississippi 10 $116.55 $239.20 $305.50
Missouri 19 $96.75 $168.85 $635.70
Montana 2 $192.00 $192.00 $244.00
Nebraska 13 $107.94 $203.00 $483.64
Nevada 3 $132.23 $948.18 $2,234.75
New Hampshire 1 $341.20 $341.20 $341.20
New Jersey 23 $72.75 $117.19 $304.50
New York 22 $129.60 $369.35 $1,014.00
North Carolina 14 $361.00 $361.00 $450.92
North Dakota 2 $233.60 $233.60 $248.80
Ohio 37 $34.00 $147.75 $1,115.85
Oklahoma 18 $129.00 $213.21 $525.12
Oregon 13 $131.52 $278.25 $373.50
Pennsylvania 29 $93.00 $250.80 $1,034.40
South Carolina 10 $43.00 $195.00 $467.00
South Dakota 5 $158.40 $252.00 $997.60
Tennessee 37 $35.38 $41.70 $1,114.54
Texas 90 $83.39 $321.00 $1,533.19
Virginia 22 $40.71 $281.40 $294.00
Washington 26 $72.42 $177.20 $384.30
West Virginia 16 $68.00 $105.50 $282.50
Wisconsin 32 $124.30 $267.50 $693.74
Wyoming 4 $305.76 $909.07 $961.29

All hospitals

Hospital Location Cash price Negotiated range
ST HELENA HOSPITAL Vallejo, CA $31.80 $37.50 – $173.42
Parkview Bryan Hospital Bryan, OH $34.00 not published
Parkview Montpelier Hospital Montpelier, OH $34.00 not published
Parkview Logansport Hospital Logansport, IN $34.30 not published
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $34.30 not published
LeConte Medical Center Sevierville, TN $35.38 $25.62 – $109.80
ADVENTIST HEALTH TULARE Tulare, CA $36.10 $37.50 – $156.86
Roane County Medical Center Harriman, TN $40.26 $25.62 – $109.80
Fort Loudoun Medical Center Lenoir City, TN $40.26 $25.62 – $109.80
Dickenson Community Hospital CLINTWOOD, VA $40.71 $66.94 – $69.21
Hancock County Hospital SNEEDVILLE, TN $40.71 $47.56 – $56.41
Lee County Community Hospital PENNINGTON GAP, VA $40.71 $66.94 – $69.21
Johnson County Community Hospital MOUNTAIN CITY, TN $40.71 $56.41 – $69.21
Bristol Regional Medical Center BRISTOL, TN $41.70 $56.41 – $57.07
Franklin Woods Community Hospital JOHNSON CITY, TN $41.70 $66.94 – $85.61
Greeneville Community Hospital GREENEVILLE, TN $41.70 $34.24 – $56.41
Hawkins County Memorial Hospital ROGERSVILLE, TN $41.70 $47.56 – $56.41
Holston Valley Medical Center KINGSPORT, TN $41.70 $56.41 – $57.07
Indian Path Community Hospital KINGSPORT, TN $41.70 $56.41 – $85.61
Johnson City Medical Center JOHNSON CITY, TN $41.70 $56.41 – $85.61
Johnston Memorial Hospital ABINGDON, VA $41.70 $56.41 – $85.61
Lonesome Pine Hospital BIG STONE GAP, VA $41.70 $47.56 – $66.94
Russell County Hospital LEBANON, VA $41.70 $66.94 – $85.61
Smyth County Community Hospital MARION, VA $41.70 $66.94 – $85.61
Sycamore Shoals Hospital ELIZABETHTON, TN $41.70 $56.41 – $85.61
MUSC Health Black River Medical Center Cades, SC $43.00 $127.21 – $127.21
Claiborne Medical Center Tazewell, TN $43.68 not published
REEDLEY COMMUNITY HOSPITAL Reedley, CA $49.21 $2.23 – $619.49
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA $49.35 $37.50 – $169.86
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $54.00 $37.50 – $361.08
SIERRA VISTA HOSPITAL, INC. San Luis Obispo, CA $54.27 $85.61 – $269.10
ADVENTIST HEALTH DELANO Delano, CA $57.20 $53.79 – $192.15
HANFORD COMMUNITY HOSPITAL Selma, CA $57.57 $37.50 – $156.86
MUSC Health Main Campus - Charleston Charleston, SC $59.50 $127.21 – $127.21
MUSC Health Orangeburg Medical Center Orangeburg, SC $59.50 not published
CASTLE MEDICAL CENTER Kailua, HI $61.76 $29.27 – $193.00
Morristown-Hamblen Hospital Association Morristown, TN $62.10 $25.62 – $109.80
Cumberland Medical Center, Inc. Crossville, TN $66.24 $43.47 – $186.30
UKIAH ADVENTIST HOSPITAL Ukiah, CA $67.20 $37.50 – $156.86
Camden Clark Medical Center Parkersburg, WV $68.00 $73.09 – $133.45
Reynolds Memorial Hospital Glen Dale, WV $68.00 $54.90 – $133.45
Fort Sanders Regional Medical Center Knoxville, TN $68.31 $25.62 – $109.80
Methodist Medical Center of Oak Ridge Oak Ridge, TN $68.31 $25.62 – $109.80
SONORA COMMUNITY HOSPITAL Sonora, CA $69.53 $37.50 – $156.86
St. Joseph's Behavioral Health Center Stockton, CA $69.67 $12.20 – $105.53
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $69.93 $37.50 – $523.31
New Ulm Medical Center MN 56073, MN $70.78 $55.33 – $588.98
Virginia Mason Medical Center Seattle, WA $72.42 $3.76 – $1,753.69
West Virginia University Hospitals Morgantown, WV $72.50 $54.42 – $357.81
Robert Wood Johnson University Hospital Rahway Rahway, NJ $72.75 $119.85 – $119.85

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