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
Sanford Bagley Medical Center Bagley, MN $253.60 $76.75 – $285.30
Sanford Bemidji Medical Center Bemidji, MN $253.60 $117.08 – $250.20
Aurora Medical Center Sheboygan County Sheboygan, WI $255.00 not published
45-2896080 MBMC Leake Carthage, MS $255.60 $122.15 – $122.15
Sanford Westbrook Hospital Westbrook, MN $256.00 $51.81 – $192.60
Sanford Tracy Hospital Tracy, MN $256.00 $51.81 – $192.60
62-0123940 BMH Collierville Collierville, TN $256.62 $11.26 – $487.08
39-3714515 BMH Oktibbeha County STARKVILLE, MS $260.48 $79.84 – $273.97
Providence Regional Medical Center Everett - Colby Campus Everett, WA $261.04 not published
Love County Health Center Marietta, OK $263.00 $113.10 – $113.10
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS $263.20 $66.15 – $214.97
CHI Health Good Samaritan Kearney, NE $264.13 $90.93 – $402.69
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $266.17 $132.72 – $514.15
WellSpan Evangelical Community Hospital Lewisburg, PA $266.40 $44.00 – $443.59
OSF Little Company of Mary Medical Center Evergreen Park, IL $267.00 not published
OSF St Joseph Medical Center Bloomington, IL $267.00 not published
OSF St Mary Medical Center Galesburg, IL $267.00 not published
64-0772726 BMH North Mississippi Oxford, MS $267.26 $79.45 – $181.00
Aurora Medical Center Washington County Hartford, WI $267.50 not published
Mercy Orthopedic Hospital Springfield Ozark, MO $268.45 $12.00 – $793.58
HSHS St. Mary's Hospital Medical Center GREEN BAY, WI $268.62 $95.40 – $154.00
HSHS St. Nicholas Hospital SHEBOYGAN, WI $268.62 $95.40 – $154.00
HSHS St. Vincent Hospital Green Bay, WI $268.62 $113.00 – $154.00
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $268.62 $95.40 – $154.00
Mercy Gilbert Medical Center Gilbert, AZ $269.87 $38.50 – $496.00
Sanford Clear Lake Medical Center Clear Lake, SD $271.20 $117.48 – $206.10
UPMC Community Osteopathic Harrisburg, PA $271.80 $31.00 – $337.75
UPMC Somerset Somerset, PA $271.80 $22.63 – $122.27
MercyOne Elkader Medical Center Elkader, IA $272.00 $56.78 – $272.00
UPMC Cole Coudersport, PA $273.00 $51.57 – $190.40
Sanford Luverne Medical Center Luverne, MN $273.60 $82.80 – $307.80
UPMC Altoona Altoona, PA $274.20 $20.00 – $365.60
Providence St Joseph Hospital Chewelah, WA $277.90 not published
Providence Medford Medical Center Medford, OR $278.25 not published
Providence Newberg Medical Center Newberg, OR $278.25 not published
Providence Portland Medical Center Portland, OR $278.25 not published
Providence St Vincent Medical Center Portland, OR $278.25 not published
Providence Willamette Falls Medical Center Oregon City, OR $278.25 not published
Providence Milwaukie Hospital Milwaukie, OR $278.25 not published
Aurora Medical Center Fond du Lac Fond Du Lac, WI $280.00 not published
St Anne Hospital Toledo, OH $280.20 not published
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL $281.16 $176.55 – $261.08
Mary Immaculate Hospital Newport News, VA $281.40 not published
Maryview Hospital Portsmouth, VA $281.40 not published
Harbour View Medical Center Suffolk, VA $281.40 not published
OSF Saint Anthony's Health Center Alton, IL $281.40 $229.65 – $229.65
Wetzel County Hospital New Martinsville, WV $282.50 $59.86 – $133.45
Sierra Nevada Memorial Hospital Grass Valley, CA $286.67 $66.81 – $415.52
OSF Saint Elizabeth Medical Center Ottawa, IL $286.80 not published
Southside Regional Medical Center Petersburg, VA $288.90 not published

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