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
UPMC Bedford Everett, PA $142.20 $36.08 – $213.30
Potomac Valley Hospital Keyser, WV $145.00 not published
MercyOne Genesis Davenport Medical Center Davenport, IA $145.80 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $145.80 $68.61 – $210.68
MercyOne Genesis DeWitt Medical Center DeWitt, IA $145.80 $77.86 – $167.17
MercyOne Genesis Aledo Medical Center Aledo, IL $145.80 $103.05 – $107.63
UPMC Western Maryland Cumberland, MD $146.40 $244.00 – $244.00
University Hospitals Beachwood Medical Center Beachwood, OH $147.75 $32.00 – $233.70
University Hospitals Elyria Medical Center Elyria, OH $147.75 $129.83 – $233.70
University Hospitals St. John Medical Center Westlake OH, OH $147.75 $129.83 – $233.70
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $147.75 $74.00 – $233.70
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $147.75 $129.83 – $233.70
University Hospitals Portage Medical Center Ravenna OH 44266, OH $147.75 $129.83 – $233.70
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $147.75 $129.83 – $233.70
University Hospitals Ahuja Medical Center Beachwood, OH $147.75 $32.00 – $233.70
St. Joseph Health Grimes Hospital Navasota, TX $148.58 $64.55 – $245.98
St. Joseph Health Burleson Hospital Caldwell, TX $148.58 $39.16 – $160.20
St. Joseph Health Madison Hospital Madisonville, TX $148.58 $22.68 – $160.20
St. Joseph Health College Station Hospital College Station, TX $148.58 $77.00 – $245.98
St. Clare Hospital Lakewood, WA $149.31 $372.96 – $632.55
University Hospitals Conneaut Medical Center Conneaut, OH $150.00 not published
University Hospitals Geneva Medical Center Geneva, OH $150.00 not published
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO $154.55 $80.10 – $3,868.00
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville, FL $155.12 $309.88 – $309.88
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL $155.12 $309.88 – $309.88
CHI Memorial Hospital Chattanooga Chattanooga, TN $156.51 $72.38 – $259.00
SSM Health St. Clare Hospital - Baraboo Baraboo, WI $157.30 not published
Parkwest Medical Center Knoxville, TN $157.50 $25.62 – $109.80
St. Anthony Hospital Gig Harbor, WA $157.55 $372.96 – $632.55
St. Anne Hospital Burien, WA $158.18 $222.74 – $550.75
Sanford Canton Inwood Medical Center Canton, SD $158.40 $67.72 – $178.20
Sanford Sheldon Medical Center Sheldon, IA $160.00 $57.00 – $180.00
Redwood Memorial Hospital Fortuna, CA $161.16 not published
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon, IL $161.70 not published
SSM Health St. Mary's Hospital - Centralia Centralia, IL $161.70 not published
Mercy Hospital Carthage Carthage, MO $162.50 $78.54 – $113.10
St. Francis Hospital Federal Way, WA $162.57 $372.96 – $632.55
Mercy Hospital Aurora Aurora, MO $163.80 $85.19 – $87.00
St. Luke's Health - Brazosport Hospital Lake Jackson, TX $163.87 $45.00 – $194.85
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $164.64 $83.05 – $343.00
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO $166.65 not published
MercyOne Dyersville Medical Center Dyersville, IA $167.70 $88.83 – $290.40
UPMC Mercy Pittsburgh, PA $168.00 $36.08 – $138.03
UPMC Presbyterian Pittsburgh, PA $168.00 $59.86 – $160.50
WellSpan Surgery & Rehabilitation Hospital York PA 17403, PA $168.00 $50.00 – $136.00
Wellstar Cobb Hospital Austell, GA $168.09 not published
Wellstar Douglas Hospital Douglasville, GA $168.09 not published
Wellstar Kennestone Hospital Marietta, GA $168.09 not published
Wellstar MCG Health Augusta, GA $168.09 not published
Wellstar North Fulton Hospital Roswell, GA $168.09 not published

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