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
Emory Rehabilitation Hospital Atlanta, GA $626.00 not published
Emory Saint Joseph's Hospital Atlanta, GA $626.00 not published
Emory University Hospital Midtown Atlanta, GA $626.00 not published
Glendale Memorial Hospital Health Center Glendale, CA $631.47 $66.81 – $282.61
Mercy Hospital Southeast Cape Girardeau, MO $635.70 $80.66 – $295.33
Mercy Hospital Stoddard Dexter, MO $635.70 $81.06 – $289.21
Adventhealth Tampa Tampa, FL $639.64 not published
Adventhealth Riverview Riverview, FL $639.64 not published
Adventhealth Wesley Chapel Wesley Chapel, FL $639.64 not published
Adventhealth Zephyrhills Zephyrhills, FL $639.64 not published
Adventhealth Carrollwood Tampa, FL $639.64 not published
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport, IN $645.60 $12.21 – $105.54
Sterling Regional Medical Center Sterling, CO $647.14 $110.20 – $383.15
Adventhealth Lake Wales Lake Wales, FL $650.55 not published
MercyOne New Hampton Medical Center New Hampton, IA $659.10 $42.60 – $258.00
Harlan ARH Hospital KY 40831, KY $662.40 not published
Paintsville ARH Hospital Paintsville, KY $662.40 $61.98 – $82.78
Boca Raton Regional Hospital BOCA RATON, FL $668.20 $175.18 – $476.00
Sanford Worthington Medical Center Worthington, MN $680.80 $88.78 – $206.10
Adventhealth Manchester Manchester, KY $683.73 not published
UnityPoint Health - Meriter Hospital Madison, WI $693.74 $30.36 – $234.23
Middlesboro ARH Hospital Middlesboro, KY $695.40 $77.39 – $136.59
Tug Valley ARH Regional Medical Center Williamson, KY $695.40 $61.98 – $136.59
Banner North Colorado Medical Center - Loveland Campus Loveland, CO $700.52 $55.26 – $521.89
Lincoln Health Damariscotta, ME $701.80 $95.17 – $247.35
Adventhealth Ocala Ocala, FL $707.51 not published
NewYork-Presbyterian Columbia University Irving Medical Center New York, NY $715.00 $847.70 – $847.70
Adventhealth Palm Coast Palm Coast, FL $747.19 not published
Adventhealth Palm Coast Parkway Palm Coast, FL $747.19 not published
Bethesda Hospital East BOYNTON BEACH, FL $759.85 $267.70 – $1,052.10
Baptist Health Hospital Doral SOUTH MIAMI, FL $759.85 $10.96 – $56.70
Fishermens Community Hospital MARATHON, FL $759.85 $195.22 – $1,052.10
Homestead Hospital HOMESTEAD, FL $759.85 $167.89 – $1,052.10
Mariners Hospital TAVERNIER, FL $759.85 $202.24 – $1,052.10
WellSpan Gettysburg Hospital Gettysburg, PA $769.60 $50.00 – $230.95
Adventhealth Waterman Tavares, FL $770.26 not published
French Hospital San Luis Obispo, CA $784.40 $53.79 – $373.38
East Morgan County Hospital Brush, CO $788.38 $166.45 – $383.15
MercyOne Centerville Medical Center Centerville, IA $803.00 $41.71 – $258.00
Adventhealth North Pinellas Tarpon Springs, FL $803.91 not published
WellSpan Good Samaritan Hospital Lebanon, PA $814.40 $50.00 – $222.78
Adventhealth Shawnee Mission Shawnee Mission, KS $829.07 not published
Adventhealth South Overland Park Overland Park, KS $829.07 not published
Adventhealth Ottawa Ottawa, KS $829.07 not published
St. Mary Medical Center Long Beach, CA $832.48 $53.79 – $334.05
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX $872.85 $108.65 – $108.65
Texas Health Arlington Memorial Hospital Arlington, TX $872.85 $108.65 – $108.65
Texas Health Presbyterian Hospital Allen Allen, TX $872.85 $108.65 – $108.65
Texas Health Presbyterian Hospital Denton Denton, TX $872.85 $108.65 – $108.65
Texas Health Presbyterian Hospital Dallas Dallas, TX $872.85 $108.65 – $108.65

Related office visits procedures