Established Patient Office Visit (level 4) cost at US hospitals
Office visit, established patient, moderate complexity · CPT 99214
$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.
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 |
|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun, WI | $210.65 | not published |
| SSM Health Ripon Community Hospital | Ripon, WI | $210.65 | not published |
| Mark Twain Medical Center | San Andreas, CA | $212.46 | $55.63 – $210.70 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $213.21 | $85.98 – $151.50 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $213.21 | $85.98 – $149.74 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $213.21 | $85.98 – $132.12 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $213.21 | $85.98 – $132.12 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $213.21 | $85.98 – $132.12 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $213.21 | $85.98 – $87.04 |
| UPMC East | Monroeville, PA | $216.00 | $36.08 – $288.00 |
| Uniontown Hospital | Uniontown, PA | $217.00 | $59.86 – $172.31 |
| HSHS St. Joseph's Hospital | Breese, IL | $220.32 | $150.00 – $306.00 |
| Thomas Hospitals | South Charleston, WV | $220.50 | $73.09 – $427.44 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $224.01 | $102.92 – $237.46 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $224.01 | $102.92 – $237.46 |
| CHI Health Mercy Corning | Corning, IA | $227.52 | $41.71 – $95.06 |
| UPMC St. Margaret | Pittsburgh, PA | $228.60 | $59.86 – $135.55 |
| St. Michael Medical Center | Silverdale, WA | $228.62 | $326.34 – $466.20 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $229.50 | $127.21 – $127.21 |
| Corewell Health Pennock | Hastings, MI | $231.00 | not published |
| Corewell Health Big Rapids | Big Rapids, MI | $231.00 | not published |
| Corewell Health Gerber | Fremont, MI | $231.00 | not published |
| Corewell Health Reed City | Po Box 75, MI | $231.00 | not published |
| Corewell Health Greenville | Greenville, MI | $231.00 | not published |
| Corewell Health Zeeland | Zeeland, MI | $231.00 | not published |
| University Hospitals Samaritan Medical Center | Ashland, OH | $231.75 | $129.83 – $233.70 |
| CHI Health Missouri Valley | Missouri Valley, IA | $232.26 | $33.95 – $95.06 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $232.88 | $122.15 – $122.15 |
| Sanford Medical Center Bismarck | Bismarck, ND | $233.60 | $92.59 – $262.80 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $234.40 | $116.07 – $263.70 |
| 64-0682111 BMH DeSoto | Southaven, MS | $235.00 | $79.45 – $379.08 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $238.44 | $53.79 – $665.02 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $239.20 | $79.45 – $122.15 |
| Moanalua Medical Center | HONOLULU, HI | $239.25 | not published |
| Mercy Hospital Kingfisher | Kingfisher, OK | $239.85 | $80.63 – $113.10 |
| Ascension Providence | Waco, TX | $239.94 | $132.81 – $197.62 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | $240.00 | $12.21 – $105.54 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $240.00 | $12.21 – $105.54 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $242.00 | $92.73 – $92.73 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $242.00 | $92.73 – $92.73 |
| UPMC McKeesport | Mckeesport, PA | $242.40 | $36.08 – $135.55 |
| Spring Harbor Hospital | Westbrook, ME | $243.55 | $92.46 – $247.35 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $244.00 | not published |
| 62-1138045 BMH Union City | Union City, TN | $247.20 | $79.45 – $79.45 |
| Sanford Fargo Medical Center | Fargo, ND | $248.80 | $86.36 – $279.90 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $250.80 | $59.86 – $157.62 |
| UPMC Horizon-Greenville | Greenville, PA | $250.80 | $57.14 – $133.72 |
| UPMC Jameson | New Castle, PA | $250.80 | $23.27 – $122.03 |
| Sanford Vermillion Hospital | Vermillion, SD | $252.00 | $59.30 – $180.90 |
| Aurora West Allis Medical Center | West Allis, WI | $252.50 | not published |
Related office visits procedures
- Annual Physical, Established Patient (age 18-39) from $18.55
- Annual Physical, Established Patient (age 40-64) from $18.55
- Annual Physical, New Patient (age 18-39) from $9.50
- Annual Physical, New Patient (age 40-64) from $9.50
- Established Patient Office Visit (level 1) from $10.20
- Established Patient Office Visit (level 2) from $11.55