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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
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $72.75 $37.50 – $156.86
Henry Ford St John Hospital Detroit, MI $73.92 $72.85 – $125.02
Henry Ford Warren Hospital Warren, MI $73.92 $72.85 – $125.02
CHI St. Vincent Morrilton Morrilton, AR $77.43 $108.00 – $135.63
WILLITS HOSPITAL INC Willits, CA $77.70 $37.50 – $407.41
St. Luke's Health Memorial Lufkin Lufkin, TX $83.39 $73.75 – $442.48
St. Luke's Health Memorial Livingston Livingston, TX $83.39 $73.75 – $442.48
St. Luke's Health Memorial San Augustine San Augustine, TX $83.39 $88.50 – $511.31
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $86.73 $85.61 – $477.10
Covenant Hospital Plainview Plainview, TX $87.36 $168.82 – $171.64
Covenant Hospital Levelland Levelland, TX $87.36 $171.64 – $191.22
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $92.43 $119.85 – $163.59
UPMC Hanover Hanover, PA $93.00 $69.11 – $127.70
Banner University Medical Center South Tucson, AZ $94.36 $54.54 – $224.00
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $95.04 $29.60 – $244.20
Robert Wood Johnson University Hospital Somerset Somerville, NJ $95.31 $72.14 – $119.85
Berkeley Medical Center Martinsburg, WV $96.00 $58.23 – $133.45
Mercy Primary Care - Bernie Bernie, MO $96.75 $67.76 – $129.00
Mercy General Hospital Sacramento, CA $100.50 $66.81 – $340.80
Banner Boswell Medical Center Sun City, AZ $103.70 $54.54 – $344.00
Princeton Community Hospital Princeton, WV $104.00 $54.42 – $491.95
CHI Saint Joseph Health - Saint Joseph London London, KY $104.20 $41.70 – $265.72
Braxton County Memorial Hospital Gassaway, WV $105.50 not published
Jefferson Medical Center Ranson, WV $105.50 not published
St. Joseph's Hospital Buckhannon, WV $105.50 not published
Summersville Regional Medical Center Summersville, WV $105.50 not published
Trinitas Regional Medical Center Elizabeth, NJ $105.86 $68.14 – $119.85
CHI Health Mercy Council Bluffs Council Bluffs, IA $107.94 $26.55 – $150.45
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $107.94 $30.09 – $150.45
Lasting Hope Recovery Center Omaha, NE $107.94 $30.09 – $150.45
CHI Health Immanuel Omaha, NE $107.94 $24.78 – $150.45
CHI Health Lakeside Omaha, NE $107.94 $28.32 – $150.45
CHI Health Midlands Papillion, NE $107.94 $31.86 – $150.45
CHI Memorial Hospital - Georgia Ringgold, GA $109.52 $55.50 – $299.70
CHI Memorial Hospital Hixson Hixson, TN $109.52 $72.38 – $259.00
Henry Ford Providence Novi Hospital Novi, MI $111.44 $72.85 – $492.47
Clara Maass Medical Center Belleville, NJ $112.17 $119.85 – $119.85
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL $112.50 not published
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL $112.50 not published
Uchicago Medicine Adventhealth La Grange La Grange, IL $112.50 not published
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL $112.50 not published
26-1214372 NEA Baptist Jonesboro, AR $113.05 $84.60 – $171.36
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $114.08 $69.41 – $258.44
64-0881013 MBMC Jackson Jackson, MS $116.55 $83.42 – $122.15
Community Medical Center Toms River, NJ $116.97 $119.85 – $119.85
Jersey City Medical Center Jersey City, NJ $117.19 $88.18 – $119.85
Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) Saint Johns, FL $117.29 $309.88 – $309.88
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville, FL $117.29 $309.88 – $309.88
Newark Beth Israel Medical Center Newark, NJ $117.48 $70.14 – $119.85
Cooperman Barnabas Medical Center Livingston, NJ $119.51 $119.85 – $119.85

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