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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
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $120.21 $68.66 – $298.48
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $120.28 $0.01 – $122.02
Henry Ford West Bloomfield Hospital West Bloomfield, MI $120.28 $0.01 – $122.02
Henry Ford Wyandotte Hospital: Wyandotte, MI $120.28 $0.01 – $122.02
Henry Ford Macomb Hospital Clinton Twp, MI $120.28 $0.01 – $122.02
Robert Wood Johnson University Hospital New Brunswick, NJ $120.30 $119.85 – $137.59
Defiance Hospital Defiance, OH $121.20 not published
Tiffin Hospital Tiffin, OH $121.20 not published
avon hospital Avon, OH $121.55 $0.01 – $168.30
cleveland clinic childrens hospital for rehabilitation Cleveland, OH $121.55 $0.01 – $168.30
euclid hospital Euclid, OH $121.55 $0.01 – $168.30
fairview hospital Cleveland, OH $121.55 $0.01 – $168.30
lutheran hospital Cleveland, OH $121.55 $0.01 – $168.30
hillcrest hospital Mayfield Heights, OH $121.55 $0.01 – $168.30
lodi hospital Lodi, OH $121.55 $0.01 – $168.30
marymount hospital Garfield Heights, OH $121.55 $0.01 – $168.30
medina hospital Medina, OH $121.55 $0.01 – $168.30
south pointe hospital Warrensville Heights, OH $121.55 $0.01 – $168.30
Monmouth Medical Center Long Branch, NJ $123.40 $119.85 – $119.85
Barnesville Hospital Barnesville, OH $123.50 not published
SSM Health St. Mary's Hospital - Janesville Janesville, WI $124.30 not published
62-1166050 BMH Carroll County Huntingdon, TN $124.43 $48.63 – $79.45
Woodland Memorial Hospital Woodland, CA $126.32 $46.86 – $426.00
Mercy San Juan Medical Center Carmichael, CA $126.32 $46.86 – $353.58
Weirton Medical Center Weirton, WV $126.50 $54.42 – $429.85
Mercy Health Love County Rural Health Clinic MARIETTA, OK $129.00 $125.04 – $129.00
UPMC Chautauqua Jamestown, NY $129.60 $45.92 – $194.40
Morrow County Hospital Mount Gilead, OH $131.17 $84.46 – $139.35
SSM Health St. Mary's Hospital - Madison Madison, WI $131.45 not published
PORTLAND ADVENTIST MEDICAL CENTER Portland, OR $131.52 $68.86 – $739.80
64-0362400 Anderson Regional Main Campus Meridian, MS $131.56 $79.45 – $122.15
San Martin Hospital Las Vegas, NV $132.23 $72.73 – $445.05
Henry Ford Genesys Hospital Grand Blanc Twp, MI $132.72 $72.85 – $236.81
Methodist Hospital of Sacramento Sacramento, CA $132.77 $66.81 – $353.58
Emory Hospital Perry Perry, GA $133.00 not published
Emory Hospital Warner Robins Warner Robins, GA $133.00 not published
Allina Health Faribault Medical Center Faribualt, MN $133.45 $98.12 – $474.07
Buffalo Hospital Buffalo, MN $133.45 $98.12 – $474.07
Cambridge Medical Center Cambridge, MN $133.45 $98.12 – $474.07
River Falls Area Hospital River Falls, MN $133.45 $72.15 – $836.50
Owatonna Hospital Owatonna, MN $133.45 $98.12 – $474.07
Monmouth Medical Center Southern Campus Lakewood, NJ $134.06 $119.85 – $119.85
Bakersfield Memorial Hospital Bakersfield, CA $134.33 $66.81 – $314.82
UPMC Kane Kane, PA $134.40 $53.09 – $135.06
MercyOne Genesis Davenport West Medical Center Davenport, IA $134.40 not published
Beckley ARH Hospital Beckley, WV $135.60 $73.09 – $82.78
Whitesburg ARH Hospital Whitesburg, KY $135.60 $61.98 – $82.78
Willard Hospital Willard, OH $136.80 not published
Wamego Health Center (Wamego Hospital Association) Wamego, KS $137.20 $66.15 – $260.70
Mercy Hospitals – Bakersfield Bakersfield, CA $140.61 $66.81 – $303.20

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