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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
Wellstar Paulding Hospital Hiram, GA $168.09 not published
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $168.09 not published
Wellstar Spalding Regional Hospital Griffin, GA $168.09 not published
Wellstar Sylvan Grove Hospital Jackson, GA $168.09 not published
Wellstar West Georgia Medical Center Lagrange, GA $168.09 not published
Wellstar Windy Hill Hospital Marietta, GA $168.09 not published
St. Luke's Health - The Vintage Hospital Houston, TX $168.70 $74.00 – $482.00
Baylor St Luke's Medical Center Houston, TX $168.70 $82.00 – $482.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $168.70 $74.00 – $482.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $168.70 $74.00 – $482.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $168.70 $74.00 – $482.00
Grant Memorial Hospital Petersburg, WV $168.80 not published
SSM Health St. Clare Hospital - Fenton Fenton, MO $168.85 $2,302.00 – $2,302.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $168.85 $2,302.00 – $2,302.00
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $168.85 $2,302.00 – $2,302.00
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $168.85 $2,302.00 – $2,302.00
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $168.85 $2,302.00 – $2,302.00
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $168.85 $2,302.00 – $2,302.00
Aurora Medical Center Burlington Burlington, WI $170.00 not published
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $170.94 $37.50 – $156.86
Mercy Hospital Tishomingo Tishomingo, OK $170.95 $113.10 – $216.61
CHI Health Nebraska Heart Lincoln, NE $171.12 $89.28 – $305.04
St. Joseph Medical Center Tacoma, WA $171.57 $372.96 – $632.55
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $173.06 $99.05 – $326.69
Rappahannock General Hospital Kilmarnock, VA $174.60 not published
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $175.00 not published
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $175.23 $72.86 – $375.83
Providence Centralia Hospital Centralia, WA $176.28 not published
Providence St Peter Hospital Olympia, WA $176.28 not published
MultiCare Auburn Medical Center Auburn, WA $177.20 $43.75 – $50.00
MultiCare Capital Medical Center Olympia, WA $177.20 not published
MultiCare Covington Medical Center Covington, WA $177.20 $43.75 – $50.00
MultiCare Good Samaritan Hospital Puyallup, WA $177.20 $43.75 – $50.00
MultiCare Mary Bridge Children's Hospital Tacoma, WA $177.20 $43.75 – $50.00
MultiCare Allenmore Hospital Tacoma, WA $177.20 $43.75 – $50.00
Mercy Hospital Berryville Berryville, AR $177.45 $74.45 – $147.96
Advocate Illinois Masonic Medical Center Chicago, IL $177.50 $105.00 – $284.00
Advocate Childrens Hospital - Park Ridge Park Ridge, IL $177.50 $105.00 – $284.00
Advocate Sherman Hospital Elgin, IL $177.50 $105.00 – $319.50
Advocate South Suburban Hospital Hazel Crest, IL $177.50 $105.00 – $345.77
Advocate Trinity Hospital Chicago, IL $177.50 $105.00 – $284.00
Advocate Christ Medical Center Oak Lawn, IL $177.50 $105.00 – $284.00
Advocate Condell Medical Center Libertyville, IL $177.50 $105.00 – $284.00
Advocate Good Samaritan Hospital Downers Grove, IL $177.50 $84.00 – $284.00
UPMC Hamot Erie, PA $178.20 $59.86 – $247.66
Urbana Hospital Urbana, OH $178.80 not published
Mercy Hospital of Folsom Folsom, CA $179.33 $46.86 – $349.32
Henry Ford Rochester Hospital Rochester, MI $180.48 $38.00 – $111.30
Aurora Medical Center Grafton Grafton, WI $182.50 not published
St. Elizabeth Hospital Enumclaw, WA $183.05 $64.00 – $466.20

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