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.

$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
Banner Wyoming Medical Center Casper, WY $430.08 $54.81 – $196.91
Sequoia Hospital Redwood City, CA $430.25 $101.90 – $18,445.00
CHI Health Schuyler Schuyler, NE $434.35 $22.07 – $116.62
Adventhealth Rollins Brook Lampasas, TX $450.00 $434.28 – $434.28
Adventhealth Central Texas Killeen, TX $450.00 $434.28 – $434.28
Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) Salem, IN $451.80 $17.49 – $141.38
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN $452.40 $17.49 – $141.38
Stephens Memorial Hospital Norway, ME $464.00 $139.76 – $348.21
UCF LAKE NONA HOSPITAL Orlando, FL $467.82 $118.75 – $121.25
Adventhealth Fish Memorial Orange City, FL $472.07 not published
Gouverneur Hospital Gouverneur, NY $472.92 $64.50 – $199.00
Franklin Memorial Hospital Farmington, ME $474.50 $115.85 – $322.16
Massena Hospital Massena, NY $475.42 $64.50 – $199.00
HSHS St. Mary's Hospital DECATUR, IL $476.64 $313.00 – $662.00
Sunnyside Medical Center CLACKAMAS, OR $477.70 not published
Westside Medical Center HILLSBORO, OR $477.70 not published
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $481.25 $221.06 – $252.14
CHI Health St. Francis Grand Island, NE $481.44 $187.68 – $767.04
Canton-Potsdam Hospital Potsdam, NY $482.21 $110.02 – $199.00
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX $484.35 $153.18 – $153.18
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX $484.35 $165.48 – $165.48
Texas Health Hospital Rockwall Rockwall, TX $484.35 $165.48 – $165.48
Adventhealth Daytona Beach Daytona Beach, FL $486.05 not published
Rochester General Hospital Rochester, NY $487.32 $72.00 – $130.69
Newark Wayne Community Hospital Newark, NY $487.32 $122.25 – $254.73
Clifton Springs Hospital and Clinic Clifton Springs, NY $487.32 $73.75 – $178.40
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) Brazil, IN $491.40 $17.49 – $141.38
Providence Alaska Medical Center Anchorage, AK $497.64 $1,103.97 – $1,103.97
Mercy Hospital Oklahoma City Oklahoma City, OK $500.50 $113.54 – $280.55
Banner Baywood Medical Center Mesa, AZ $501.30 $24.00 – $90.00
Grant Memorial Hospital Petersburg, WV $502.40 not published
OSF Saint James John W Albrecht Medical Center Pontiac, IL $503.20 not published
Allen Hospital Oberlin, OH $514.20 not published
MUSC Health Florence Medical Center Florence, SC $518.00 $168.73 – $168.73
HSHS St. Francis Hospital LITCHFIELD, IL $519.12 $465.00 – $465.00
HSHS Holy Family Hospital GREENVILLE, IL $519.12 $146.00 – $146.00
Providence Seaside Hospital Seaside, OR $521.25 not published
Providence Hood River Memorial Hospital Hood River, OR $521.25 not published
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN $522.60 $17.49 – $141.38
Baptist Hospital MIAMI, FL $526.50 $12.11 – $173.17
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $533.25 $35.00 – $332.02
Healdsburg Hospital Healdsburg, CA $538.56 not published
Mercy Hospital Southeast Cape Girardeau, MO $538.85 $119.63 – $438.04
Mercy Hospital Stoddard Dexter, MO $538.85 $120.23 – $428.96
CHI St. Vincent Hospital Hot Springs Hot Springs, AR $550.00 $100.00 – $965.00
AdventHealth Polk Columbus, NC $560.12 not published
CHRISTUS Health - West Beaumont Beaumont, TX $565.29 $145.00 – $323.75
UPMC Passavant-McCandless Pittsburgh, PA $573.00 $74.33 – $245.72
HSHS St. John's Hospital IL 62769|301 N. 8th St., IL $588.24 $265.00 – $817.00
AdventHealth Parker Parker, CO $588.82 $253.76 – $253.76

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