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 |
|---|---|---|---|
| Houston Methodist Hospital | Houston, TX | $289.00 | $249.63 – $249.63 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $289.00 | $249.63 – $249.63 |
| Houston Methodist West Hospital | Houston, TX | $289.00 | $249.63 – $249.63 |
| Houston Methodist Baytown Hospital | Baytown, TX | $289.00 | $249.63 – $249.63 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $289.00 | $249.63 – $249.63 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $289.00 | $139.22 – $139.22 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $289.00 | $249.63 – $249.63 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $289.00 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $289.00 | $249.63 – $249.63 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $289.20 | $12.21 – $105.54 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $291.60 | $12.21 – $105.54 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $291.60 | $80.56 – $80.56 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $293.15 | $80.63 – $216.61 |
| St Mary's Hospital | Richmond, VA | $294.00 | not published |
| St Francis Medical Center | Midlothian, VA | $294.00 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $294.00 | not published |
| Richmond Community Hospital | Richmond, VA | $294.00 | not published |
| Chandler Regional Medical Center | Chandler, AZ | $294.00 | $38.50 – $231.00 |
| OSF Saint Anthony Medical Center | Rockford, IL | $294.00 | $114.24 – $114.24 |
| Marcum Wallace Hospital | Irvine, KY | $296.40 | not published |
| 64-0663760 BMH Booneville | Booneville, MS | $296.64 | $79.45 – $122.15 |
| OSF Holy Family Medical Center | Monmouth, IL | $301.60 | not published |
| OSF Saint Clare Medical Center | Princeton, IL | $301.60 | not published |
| OSF St Francis Hospital | Escanaba, MI | $301.60 | not published |
| Waldo County General Hospital | Belfast, ME | $303.75 | $26.01 – $60.99 |
| Childrens Specialized Hospital | Mountainside, NJ | $304.50 | $289.00 – $289.00 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $305.50 | $79.45 – $193.00 |
| Banner Wyoming Medical Center | Casper, WY | $305.76 | $44.01 – $158.11 |
| St Francis Eastside | Greenville, SC | $307.20 | not published |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $308.00 | $94.15 – $3,085.00 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $308.46 | $122.48 – $285.95 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $308.46 | $122.48 – $285.95 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $310.32 | $431.00 – $431.00 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $313.20 | $12.21 – $105.54 |
| OSF Saint Paul Medical Center | Mendota, IL | $319.20 | not published |
| Methodist Charlton Medical Center | Dallas, TX | $321.00 | $26.40 – $227.75 |
| Methodist Dallas Medical Center | Dallas, TX | $321.00 | $26.40 – $227.75 |
| Methodist Mansfield Medical Center | Mansfield, TX | $321.00 | $26.40 – $227.75 |
| Methodist Midlothian Medical Center | Midlothian, TX | $321.00 | $90.25 – $227.75 |
| Methodist Richardson Medical Center | Richardson, TX | $321.00 | $34.40 – $227.75 |
| Methodist Celina Medical Center | Celina, TX | $321.00 | $62.40 – $213.99 |
| Methodist Southlake Medical Center | Souhtlake, TX | $321.00 | $26.40 – $227.75 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $321.18 | $122.48 – $285.95 |
| Providence Mount Carmel Hospital | Colville, WA | $324.80 | not published |
| Aurora Medical Center Bay Area | Marinette, WI | $325.00 | not published |
| UPMC Wellsboro | Wellsboro, PA | $327.00 | $59.86 – $122.27 |
| UPMC Williamsport | Williamsport, PA | $327.00 | $59.86 – $149.74 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $332.31 | $76.78 – $200.47 |
| Providence Alaska Medical Center | Anchorage, AK | $334.62 | $752.32 – $752.32 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $336.00 | 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