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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
HCA HOUSTON SOUTHEAST PASADENA, TX not published $187.22 – $187.22
HCA HOUSTON NORTHWEST SPRING, TX not published $187.22 – $187.22
HCA HOUSTON PEARLAND Pearland, TX not published $187.22 – $187.22
HCA HOUSTON KINGWOOD HUMBLE, TX not published $187.22 – $187.22
HCA HOUSTON CLEAR LAKE FRIENDSWOOD, TX not published $187.22 – $187.22
HCA HOUSTON MEDICAL CENTER Houston, TX not published $187.22 – $187.22
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER, SC not published $74.92 – $145.87
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson, SC not published $78.29 – $145.87
SUMMIT MEDICAL CENTER MT JULIET, TN not published $75.38 – $75.38
STONECREST MEDICAL CENTER Smyrna, TN not published $68.08 – $68.08
SKYLINE MADISON CAMPUS NASHVILLE, TN not published $70.51 – $70.51
HORIZON MEDICAL CENTER DICKSON, TN not published $77.81 – $77.81
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City, TN not published $48.63 – $48.63
MEDICAL CITY ALLIANCE HOSPITAL SAGINAW, TX not published $220.03 – $220.03
MEDICAL CITY DALLAS HOSPITAL Dallas, TX not published $220.03 – $220.03
MEDICAL CITY NORTH HILLS HOSPITAL North Richland Hills, TX not published $220.03 – $220.03
MEDICAL CITY FRISCO HOSPITAL Frisco, TX not published $220.03 – $220.03
MultiCare Yakima Memorial Hospital Yakima, WA not published $25.00 – $45.00
MultiCare Valley Hospital Spokane Valley, WA not published not published
MEDICAL CITY LAS COLINAS HOSPITAL Irving, TX not published $220.03 – $220.03
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $66.87 – $66.87
MEDICAL CITY ARGYLE HOSPITAL Argyle, TX not published $220.03 – $220.03
MEDICAL CITY FORT WORTH HOSPITAL FT WORTH, TX not published $220.03 – $220.03
Kadlec Regional Medical Center Richland, WA not published $162.66 – $162.66
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX not published $77.89 – $332.04
Ascension Seton Highland Lakes (Ascension Seton) Burnet, TX not published $77.89 – $332.04
Providence Saint John's Health Center Santa Monica, CA not published $269.00 – $269.00
Atrium Health Carolinas Medical Center Charlotte, NC not published $77.28 – $269.47
Atrium Health University City Charlotte, NC not published $77.28 – $269.47
Carolinas Rehabilitation Charlotte Charlotte, NC not published $78.05 – $269.47
Atrium Health Union Monroe, NC not published $77.28 – $269.47
Atrium Health Lincoln Lincolnton, NC not published $77.28 – $269.47
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple, TX not published $97.17 – $241.63
Atrium Health Cabarrus Concord, NC not published $77.28 – $269.47
Atrium Health Cleveland Shelby, NC not published $77.28 – $269.47
Atrium Health Behavioral Health Charlotte Charlotte, NC not published $62.08 – $164.80
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco, TX not published $241.63 – $241.63
Ascension Seton Edgar B. Davis (Ascension Seton) Luling, TX not published $77.89 – $332.04
Atrium Health Stanly Albermarle, NC not published $77.28 – $269.47
Atrium Health Pineville Charlotte, NC not published $77.28 – $269.47
Atrium Health Mercy Charlotte, NC not published $77.28 – $269.47
Covenant Children's Hospital Lubbock, TX not published $272.83 – $272.83
Ascension Saint Thomas Midtown Nashville, TN not published $71.66 – $71.66
Atrium Health Anson Wadesboro, NC not published $77.28 – $269.47
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station, TX not published $295.24 – $295.24
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX not published $241.63 – $241.63
Berger Hospital Circleville, OH not published $202.25 – $202.25
Providence St Luke's Rehabilitation Medical Center Spokane, WA not published $253.90 – $253.90
Riverview Medical Center Red Bank, NJ not published $111.00 – $159.07
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) Hoffman Estates, IL not published $260.53 – $346.61

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