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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
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) Elk Grove Village, IL not published $260.53 – $346.61
RESEARCH MEDICAL CENTER Kansas City, MO not published $163.50 – $163.50
Sentara Norfolk General Hospital Norfolk, VA not published $101.51 – $101.51
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $198.09 – $220.03
OVERLAND PARK REGIONAL MEDICAL CENTER SHAWNEE, KS not published $163.50 – $163.50
Sentara Williamsburg Regional Medical Center Williamsburg, VA not published $95.74 – $95.74
North Central Bronx Bronx, NY not published $0.01 – $645.00
Ascension Saint Thomas Hickman Centerville, TN not published $71.66 – $71.66
Corewell Health Wayne Wayne, MI not published $104.87 – $352.61
Ascension Saint Thomas Rutherford Murfreesboro, TN not published $71.66 – $71.66
Corewell Health Troy Troy, MI not published $104.87 – $395.46
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL not published $80.56 – $80.56
Sentara Obici Hospital Suffolk, VA not published $101.51 – $101.51
Corewell Health Trenton Trenton, MI not published $104.87 – $314.51
Corewell Health Taylor Taylor, MI not published $104.87 – $412.96
Corewell Health Gross Pointe Grosse Pointe, MI not published $104.87 – $234.65
Sentara Princess Anne Hospital Virginia Beach, VA not published $101.51 – $101.51
Sentara CarePlex Hospital Hampton, VA not published $101.51 – $101.51
Sentara Virginia Beach General Hospital Virginia Beach, VA not published $101.51 – $101.51
Ascension Saint Thomas River Park McMinnville, TN not published $47.56 – $71.66
Sentara Leigh Hospital Norfolk, VA not published $101.51 – $101.51
RESEARCH PSYCHIATRIC CENTER Kansas City, MO not published $163.50 – $163.50
Ascension Saint Thomas DeKalb Smithville, TN not published $47.56 – $71.66
MENORAH MEDICAL CENTER Overland Park, KS not published $163.50 – $163.50
Henry Ford Madison Heights Hospital Madison Heights, MI not published $72.85 – $125.02
Ascension Saint Thomas Highlands Sparta, TN not published $47.56 – $71.66
St Elias Specialty Hospital Anchorage, AK not published $126.67 – $496.71
Henry Ford River District Hospital China Township, MI not published $72.85 – $125.02
Covenant Medical Center Lubbock, TX not published $272.83 – $496.71
South Brooklyn Health Brooklyn, NY not published $0.01 – $645.00
Corewell Health Lakeland St. Joseph St Joseph, MI not published $160.96 – $160.96
LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO not published $163.50 – $163.50
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $56.77 – $112.54
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin, TX not published $77.89 – $332.04
HCA FLORIDA PASADENA HOSPITAL South Pasadena, FL not published $84.55 – $86.33
Dell Children's Medical Center (Ascension Seton) Austin, TX not published $77.89 – $332.04
Ascension Seton Smithville (Ascension Seton) Smithville, TX not published $77.89 – $332.04
Jacobi Medical Center Bronx, NY not published $0.01 – $645.00
Elmhurst Hospital Center NY 11373, NY not published $0.01 – $645.00
Ascension Seton Northwest (Ascension Seton) Austin, TX not published $77.89 – $332.04
Henry J. Carter Specialty Hospital New York, NY not published not published
Southern Ocean Medical Center Manahawkin, NJ not published $111.00 – $159.07
CENTERPOINT MEDICAL CENTER Independence, MO not published $163.50 – $163.50
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS not published $226.79 – $226.79
Palisades Medical Center North Bergen, NJ not published $163.83 – $163.83
Jersey Shore University Medical Center Neptune City, NJ not published $111.00 – $159.07
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published $119.85 – $163.83
Raritan Bay Medical Center Perth Amboy, NJ not published $111.00 – $163.83
Queens Hospital Center Jamaica, NY not published $0.01 – $645.00
Ocean University Medical Center Brick, NJ not published $111.00 – $159.07

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