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
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

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