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
Texas Health Hospital Frisco Frisco, TX $872.85 $108.65 – $108.65
Texas Health Heart & Vascular Hospital Arlington Arlington, TX $872.85 $117.37 – $117.37
Texas Health Presbyterian Hospital Kaufman Kaufman, TX $872.85 $149.62 – $149.62
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $872.85 $108.65 – $108.65
Texas Health Presbyterian Hospital Plano Plano, TX $872.85 $108.65 – $108.65
Texas Health Hospital Rockwall Rockwall, TX $872.85 $117.37 – $117.37
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $872.85 $108.65 – $108.65
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $872.85 $108.65 – $108.65
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $872.85 $149.62 – $149.62
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $872.85 $149.62 – $149.62
Texas Health Hospital Mansfield Mansfield, TX $896.52 $218.27 – $218.27
Texas Health Huguley Hospital Fort Worth South Burleson, TX $896.52 $218.27 – $218.27
Northridge Hospital Medical Center Northridge, CA $896.99 $33.85 – $627.00
Washakie Medical Center Worland, WY $909.07 $121.44 – $245.41
Yavapai Regional Medical Center (East) Prescott, AZ $915.63 $68.27 – $182.40
AdventHealth Orlando Orlando, FL $916.00 not published
Community Hospital Torrington, WY $946.74 $111.32 – $245.41
Siena Hospital Henderson, NV $948.18 $72.73 – $445.05
Platte County Hospital Wheatland, WY $961.29 $121.44 – $245.41
Adventhealth Port Charlotte Port Charlotte, FL $984.78 not published
Sanford USD Medical Center Sioux Falls, SD $997.60 $62.42 – $212.40
Community Hospital San Bernardino San Bernardino, CA $1,013.87 $66.81 – $7,832.00
NewYork-Presbyterian Queens Flushing, NY $1,014.00 $833.44 – $874.16
HCA FLORIDA JFK HOSPITAL PALM BEACH GARDENS, FL $1,030.00 $87.40 – $89.24
WellSpan Ephrata Community Hospital Ephrata, PA $1,034.40 $50.00 – $217.81
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN $1,046.40 $12.21 – $105.54
St. Bernardine Medical Center San Bernardino, CA $1,050.62 $66.81 – $797.04
Adventhealth Redmond Rome, GA $1,054.63 not published
HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL $1,059.00 $87.40 – $89.24
Ascension Seton Cedar Park Hospital Cedar Park, TX $1,069.76 $77.89 – $332.04
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE, TN $1,093.19 $82.67 – $82.67
Adventhealth Murray Po Box 1406, GA $1,093.37 not published
Adventhealth Gordon Calhoun, GA $1,093.37 not published
SOUTHERN HILLS MEDICAL CENTER ANTIOCH, TN $1,114.54 $83.64 – $83.64
Trinity Medical Center East Steubenville, OH $1,115.85 $120.00 – $1,687.50
Arroyo Grande Hospital Santa Maria, CA $1,129.07 $53.79 – $381.00
Mercy Medical Center Redding Redding, CA $1,137.71 $85.53 – $561.54
HCA FLORIDA HIGHLANDS HOSPITAL Sebring, FL $1,138.00 $86.33 – $86.33
St. John's Camarillo Hospital Camarillo, CA $1,166.40 $83.70 – $241.80
St. Joseph’s Hospital and Medical Center Phoenix, AZ $1,205.98 $68.27 – $2,134.35
Adventhealth Sebring Sebring, FL $1,231.87 not published
Banner Casa Grande Medical Center Casa Grande, AZ $1,233.05 $20.00 – $75.00
Dominican Hospital Santa Cruz, CA $1,290.15 $66.81 – $221.00
Mercy Medical Center Merced Merced, CA $1,309.65 $61.86 – $190.08
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX $1,424.94 $198.09 – $220.03
HCA FLORIDA CAPITAL HOSPITAL TALLAHASSEE, FL $1,465.70 $84.55 – $89.00
HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY, FL $1,516.55 $84.55 – $89.00
HCA HOUSTON CONROE CONROE, TX $1,533.19 $187.22 – $187.22
Banner University Medical Center Tucson Tucson, AZ $1,612.97 $54.54 – $224.00
Providence Valdez Medical Center Valdez, AK $1,613.04 not published

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