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Established Patient Office Visit (level 5) cost at US hospitals

Office visit, established patient, high complexity · CPT 99215

What is Established Patient Office Visit (level 5)? Read the full explainer →

Established Patient Office Visit (level 5)

This is the top of the five established patient office visit levels — the long, high-complexity appointment. It describes a severe flare of a chronic illness, or a problem that poses a threat to life or to the function of a part of the body, with decisions carrying substantial risk. It is the most expensive office visit code and the one payers scrutinize most.

Read the full explanation →

$43.00

lowest cash price

$290.68

national median

$2,952.30

highest cash price

651

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $43.00–$2,952.30 — the variation is the story.

Cheapest published cash price

$43.00

MUSC Health Black River Medical Center — Cades, SC

Most expensive published cash price

$2,952.30

Providence Valdez Medical Center — Valdez, AK

Median cash price over time

Aug 1, 2025 ($328.45) → Sep 1, 2026 ($467.82)

By state

State Hospitals Lowest cash Median Highest
Alaska 3 $497.64 $497.64 $2,952.30
Arizona 18 $117.95 $2,272.34 $2,820.40
Arkansas 10 $105.20 $222.95 $550.00
California 42 $47.40 $156.95 $2,882.63
Colorado 10 $588.82 $588.82 $1,112.57
Florida 74 $262.70 $770.90 $2,300.00
Georgia 25 $159.00 $193.83 $1,209.25
Hawaii 2 $91.84 $91.84 $351.00
Illinois 48 $166.25 $377.40 $640.80
Indiana 19 $47.08 $522.60 $1,126.80
Iowa 31 $122.22 $265.60 $2,950.00
Kansas 9 $158.40 $313.60 $872.58
Kentucky 15 $159.06 $325.80 $916.20
Louisiana 2 $201.24 $201.24 $201.24
Maine 7 $328.45 $464.00 $962.80
Maryland 1 $175.80 $175.80 $175.80
Michigan 20 $117.60 $178.74 $427.20
Minnesota 17 $85.01 $232.99 $1,059.20
Mississippi 10 $160.02 $279.90 $384.50
Missouri 19 $131.25 $287.10 $538.85
Montana 2 $269.60 $269.60 $311.20
Nebraska 13 $122.22 $275.50 $682.52
Nevada 2 $132.23 $132.23 $146.42
New Hampshire 1 $410.50 $410.50 $410.50
New Jersey 22 $85.78 $138.18 $385.00
New York 22 $165.60 $487.32 $1,014.00
North Carolina 14 $374.00 $374.00 $560.12
North Dakota 2 $301.60 $301.60 $311.20
Ohio 37 $47.00 $168.75 $1,572.10
Oklahoma 17 $226.85 $264.46 $700.20
Oregon 12 $165.76 $411.75 $521.25
Pennsylvania 28 $130.80 $316.00 $1,136.00
South Carolina 10 $43.00 $214.50 $518.00
South Dakota 4 $306.40 $322.40 $1,095.20
Tennessee 35 $44.66 $82.80 $1,114.54
Texas 86 $113.58 $367.50 $2,103.85
Virginia 20 $45.31 $264.60 $408.60
Washington 24 $72.42 $216.50 $403.90
West Virginia 16 $63.00 $157.00 $502.40
Wisconsin 32 $165.00 $332.50 $831.54
Wyoming 4 $430.08 $1,282.90 $1,356.58

All hospitals

Hospital Location Cash price Negotiated range
MUSC Health Black River Medical Center Cades, SC $43.00 $168.73 – $168.73
LeConte Medical Center Sevierville, TN $44.66 $32.34 – $138.60
Dickenson Community Hospital CLINTWOOD, VA $45.31 $77.03 – $103.22
Lee County Community Hospital PENNINGTON GAP, VA $45.31 $77.03 – $103.22
Johnson County Community Hospital MOUNTAIN CITY, TN $45.31 $77.03 – $88.39
Bristol Regional Medical Center BRISTOL, TN $46.20 $78.25 – $88.39
Franklin Woods Community Hospital JOHNSON CITY, TN $46.20 $103.22 – $114.58
Greeneville Community Hospital GREENEVILLE, TN $46.20 $46.95 – $88.39
Hawkins County Memorial Hospital ROGERSVILLE, TN $46.20 $65.21 – $88.39
Holston Valley Medical Center KINGSPORT, TN $46.20 $78.25 – $88.39
Indian Path Community Hospital KINGSPORT, TN $46.20 $88.39 – $114.58
Johnson City Medical Center JOHNSON CITY, TN $46.20 $88.39 – $117.37
Johnston Memorial Hospital ABINGDON, VA $46.20 $88.39 – $114.58
Lonesome Pine Hospital BIG STONE GAP, VA $46.20 $65.21 – $103.22
Russell County Hospital LEBANON, VA $46.20 $103.22 – $114.58
Smyth County Community Hospital MARION, VA $46.20 $103.22 – $114.58
Sycamore Shoals Hospital ELIZABETHTON, TN $46.20 $88.39 – $114.58
Parkview Bryan Hospital Bryan, OH $47.00 not published
Parkview Montpelier Hospital Montpelier, OH $47.00 not published
Parkview Logansport Hospital Logansport, IN $47.08 not published
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $47.08 not published
ST HELENA HOSPITAL Vallejo, CA $47.40 $57.20 – $246.21
Roane County Medical Center Harriman, TN $50.82 $32.34 – $138.60
Fort Loudoun Medical Center Lenoir City, TN $50.82 $32.34 – $138.60
ADVENTIST HEALTH TULARE Tulare, CA $53.58 $57.20 – $194.55
SIERRA VISTA HOSPITAL, INC. San Luis Obispo, CA $56.88 $116.00 – $321.10
MUSC Health Main Campus - Charleston Charleston, SC $59.50 $168.73 – $168.73
MUSC Health Orangeburg Medical Center Orangeburg, SC $59.50 not published
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA $61.39 $57.20 – $252.66
Camden Clark Medical Center Parkersburg, WV $63.00 $107.57 – $198.02
Reynolds Memorial Hospital Glen Dale, WV $64.50 $81.46 – $198.02
REEDLEY COMMUNITY HOSPITAL Reedley, CA $68.78 $3.15 – $619.49
Virginia Mason Medical Center Seattle, WA $72.42 $5.25 – $1,890.59
West Virginia University Hospitals Morgantown, WV $72.50 $78.05 – $530.96
HANFORD COMMUNITY HOSPITAL Selma, CA $78.85 $57.20 – $222.02
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $80.28 $57.20 – $414.63
ADVENTIST HEALTH DELANO Delano, CA $80.40 $82.05 – $285.82
UKIAH ADVENTIST HOSPITAL Ukiah, CA $82.80 $57.20 – $187.48
Morristown-Hamblen Hospital Association Morristown, TN $82.80 $32.34 – $138.60
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $83.85 $57.20 – $218.49
New Ulm Medical Center MN 56073, MN $85.01 $66.45 – $830.41
Robert Wood Johnson University Hospital Rahway Rahway, NJ $85.78 $161.06 – $161.06
Berkeley Medical Center Martinsburg, WV $86.00 $83.51 – $198.02
Cumberland Medical Center, Inc. Crossville, TN $88.32 $57.96 – $248.40
Fort Sanders Regional Medical Center Knoxville, TN $91.08 $32.34 – $138.60
Methodist Medical Center of Oak Ridge Oak Ridge, TN $91.08 $32.34 – $138.60
CASTLE MEDICAL CENTER Kailua, HI $91.84 $29.27 – $287.00
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $97.74 $57.20 – $523.31
CHI St. Vincent Morrilton Morrilton, AR $105.20 $129.17 – $135.63
Mercy General Hospital Sacramento, CA $106.39 $101.90 – $438.17

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