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
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $425.25 $35.00 – $233.70
Adventhealth Daytona Beach Daytona Beach, FL $428.75 not published
Adventhealth Durand Durand, WI $431.79 not published
Adventhealth Rollins Brook Lampasas, TX $439.04 $308.04 – $308.04
Adventhealth Central Texas Killeen, TX $439.04 $308.04 – $308.04
HSHS St. Mary's Hospital DECATUR, IL $439.92 $313.00 – $611.00
HSHS St. Francis Hospital LITCHFIELD, IL $446.40 $620.00 – $620.00
HSHS Holy Family Hospital GREENVILLE, IL $446.40 $146.00 – $146.00
HCA FLORIDA PALMS WEST HOSPITAL LOXAHATCHEE, FL $450.00 $87.40 – $89.24
AdventHealth Polk Columbus, NC $450.92 not published
The Unity Hospital of Rochester Rochester, NY $454.58 $115.93 – $115.93
Franklin Memorial Hospital Farmington, ME $459.75 $95.17 – $230.02
Healdsburg Hospital Healdsburg, CA $461.04 not published
Stephens Memorial Hospital Norway, ME $466.65 $95.17 – $247.35
MUSC Health Florence Medical Center Florence, SC $467.00 $127.21 – $127.21
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $477.00 $122.48 – $259.52
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee, WI $477.00 $158.01 – $277.60
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $481.25 $149.16 – $179.41
Ogallala Community Hospital Ogallala, NE $483.64 $111.32 – $245.41
Allen Hospital Oberlin, OH $495.60 not published
Baptist Hospital MIAMI, FL $498.55 $10.90 – $173.17
cleveland clinic main campus Cleveland, OH $499.20 $0.01 – $168.30
akron general Akron, OH $499.20 $0.01 – $168.30
cleveland clinic florida weston hospital Weston, FL $499.20 $39.31 – $384.00
martin north hospital Stuart, FL $499.20 $48.67 – $175.50
indian river hospital Vero Beach, FL $499.20 $47.02 – $652.80
mercy hospital Canton, OH $499.20 $0.01 – $168.30
AdventHealth Deland Deland, FL $499.53 not published
HSHS St. John's Hospital IL 62769|301 N. 8th St., IL $505.44 $265.00 – $702.00
CHRISTUS Health - West Beaumont Beaumont, TX $506.22 $145.00 – $240.14
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX $506.70 $220.03 – $220.03
AdventHealth New Smyrna Beach New Smyrna Beach, FL $524.29 not published
SSM Health St. Anthony Hospital - Midwest Midwest City, OK $525.12 $149.16 – $179.41
AdventHealth Parker Parker, CO $529.82 $171.37 – $171.37
AdventHealth Littleton Littleton, CO $529.82 $171.37 – $171.37
AdventHealth Porter Denver, CO $529.82 $171.37 – $171.37
AdventHealth Avista Louisville, CO $529.82 $171.37 – $171.37
AdventHealth Castle Rock Castle Rock, CO $529.82 $171.37 – $171.37
WellSpan Chambersburg Hospital Chambersburg, PA $553.60 $50.00 – $406.93
WellSpan Waynesboro Hospital Waynesboro, PA $553.60 $42.00 – $467.16
UPMC Western Psychiatric Pittsburgh, PA $568.20 $62.45 – $62.45
Hazard ARH Regional Medical Center Hazard, KY $571.20 $61.98 – $136.59
Banner Fort Collins Medical Center Fort Collins, CO $584.73 $88.15 – $521.89
Lourdes Hospital Paducah, KY $597.00 not published
MEDICAL CITY LEWISVILLE HOSPITAL LEWISVILLE, TX $608.55 $220.03 – $220.03
Emory University Hospital Ne, GA $626.00 not published
Emory Decatur Hospital Decatur, GA $626.00 not published
Emory Hillandale Hospital Lithonia, GA $626.00 not published
Emory Long-Term Acute Care Hospital Decatur, GA $626.00 not published
Emory Johns Creek Hospital Johns Creek, GA $626.00 not published

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