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.

$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
HSHS St. Joseph's Hospital HIGHLAND, IL $336.24 $146.00 – $467.00
Texas Health Harris Methodist Hospital Azle Azle, TX $337.05 $149.62 – $149.62
Sunnyside Medical Center CLACKAMAS, OR $340.00 not published
Westside Medical Center HILLSBORO, OR $340.00 not published
MaineHealth - Memorial Hospital North Conway, NH $341.20 $24.91 – $68.86
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI $345.00 not published
Aurora Medical Center Summit Summit, WI $345.00 not published
Mid Coast Hospital Brunswick, ME $352.80 $90.65 – $247.35
OSF Saint James John W Albrecht Medical Center Pontiac, IL $356.00 not published
CHI Health St. Mary's Nebraska City, NE $357.73 $77.76 – $348.48
Gouverneur Hospital Gouverneur, NY $358.44 $45.92 – $149.00
CHI Health St. Francis Grand Island, NE $358.72 $139.84 – $571.52
OSF Saint Francis Medical Center Peoria, IL $360.00 $114.24 – $114.24
Pen Bay Medical Center Rockport, ME $360.30 $93.38 – $135.74
Massena Hospital Massena, NY $360.33 $45.92 – $149.00
Adventhealth Hendersonville Hendersonville, NC $361.00 not published
Canton-Potsdam Hospital Potsdam, NY $365.48 $74.10 – $149.00
Rochester General Hospital Rochester, NY $369.35 $72.00 – $81.82
Newark Wayne Community Hospital Newark, NY $369.35 $82.33 – $171.55
Clifton Springs Hospital and Clinic Clifton Springs, NY $369.35 $51.86 – $132.71
UCF LAKE NONA HOSPITAL Orlando, FL $369.45 $84.55 – $86.33
Providence Hood River Memorial Hospital Hood River, OR $371.25 not published
Providence Seaside Hospital Seaside, OR $373.50 not published
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN $378.00 $12.21 – $105.54
Mercy Hospital Oklahoma City Oklahoma City, OK $380.25 $76.52 – $197.50
Adventhealth Fish Memorial Orange City, FL $380.72 not published
Aurora Baycare Medical Center Green Bay, WI $382.50 not published
Providence Holy Family Hospital Spokane, WA $383.60 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA $384.30 not published
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN $384.60 $12.21 – $105.54
CHI St. Vincent Hospital Hot Springs Hot Springs, AR $391.00 $100.00 – $965.00
CHI Health Plainview Plainview, NE $398.16 $59.17 – $131.36
Northwestern Medicine Central DuPage Hospital IL 60190, IL $398.30 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $398.30 not published
Northwestern Medicine Delnor Hospital Geneva, IL $398.30 not published
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $398.30 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL $398.30 not published
Northwestern Medicine Palos Hospital Palos Heights, IL $398.30 not published
Northwestern Medicine McHenry Hospital McHenry, IL $398.30 not published
Northwestern Memorial Hospital Chicago, IL $398.30 not published
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester, IN $399.60 $12.21 – $105.54
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN $400.20 $12.21 – $105.54
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) Indianapolis, IN $400.20 $12.21 – $105.54
Ascension St. Vincent Naab Surgery Center Indianapolis, IN $400.20 $12.21 – $105.54
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN $400.20 $12.21 – $105.54
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel, IN $400.20 $12.21 – $105.54
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel, IN $400.20 $12.21 – $105.54
CHI Health Schuyler Schuyler, NE $402.90 $20.78 – $109.83
Banner Baywood Medical Center Mesa, AZ $402.91 $20.00 – $75.00
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX $418.65 $117.37 – $117.37

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