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
AdventHealth Littleton Littleton, CO $588.82 $253.76 – $253.76
AdventHealth Porter Denver, CO $588.82 $253.76 – $253.76
AdventHealth Avista Louisville, CO $588.82 $253.76 – $253.76
AdventHealth Castle Rock Castle Rock, CO $588.82 $253.76 – $253.76
The Unity Hospital of Rochester Rochester, NY $599.78 $185.14 – $185.14
Mercy Medical Center Redding Redding, CA $606.38 $123.00 – $1,172.08
Pen Bay Medical Center Rockport, ME $608.65 $124.73 – $173.76
Northwestern Medicine Central DuPage Hospital IL 60190, IL $609.00 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $609.00 not published
Northwestern Medicine Delnor Hospital Geneva, IL $609.00 not published
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $609.00 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL $609.00 not published
Northwestern Medicine Palos Hospital Palos Heights, IL $609.00 not published
Northwestern Medicine McHenry Hospital McHenry, IL $609.00 not published
Northwestern Memorial Hospital Chicago, IL $609.00 not published
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN $613.80 $17.49 – $141.38
Ascension St. Vincent Naab Surgery Center Indianapolis, IN $613.80 $17.49 – $141.38
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN $613.80 $17.49 – $141.38
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel, IN $613.80 $17.49 – $141.38
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel, IN $613.80 $17.49 – $141.38
SKYLINE MADISON CAMPUS NASHVILLE, TN $614.10 $110.49 – $110.49
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester, IN $618.00 $17.49 – $141.38
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN $618.00 $17.49 – $141.38
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL $634.24 $118.75 – $121.25
AdventHealth New Smyrna Beach New Smyrna Beach, FL $637.55 not published
OSF Saint Francis Medical Center Peoria, IL $640.80 $153.56 – $153.56
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $668.33 $232.24 – $373.92
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee, WI $668.33 $232.24 – $373.92
AdventHealth Deland Deland, FL $668.62 not published
UPMC Community Osteopathic Harrisburg, PA $678.00 $99.12 – $790.50
UPMC Somerset Somerset, PA $678.00 $26.02 – $187.68
Boca Raton Regional Hospital BOCA RATON, FL $679.25 $182.71 – $476.00
MEDICAL CITY LEWISVILLE HOSPITAL LEWISVILLE, TX $681.67 $310.20 – $310.20
Ogallala Community Hospital Ogallala, NE $682.52 $156.20 – $344.35
WellSpan Chambersburg Hospital Chambersburg, PA $696.80 $50.00 – $592.69
WellSpan Waynesboro Hospital Waynesboro, PA $696.80 $42.00 – $467.16
SSM Health St. Anthony Hospital - Midwest Midwest City, OK $700.20 $221.06 – $252.14
UPMC Western Psychiatric Pittsburgh, PA $709.20 $72.83 – $72.83
Lourdes Hospital Paducah, KY $714.60 not published
NewYork-Presbyterian Columbia University Irving Medical Center New York, NY $715.00 $1,253.55 – $1,253.55
Aurora Baycare Medical Center Green Bay, WI $725.00 not published
cleveland clinic main campus Cleveland, OH $728.00 $0.01 – $216.00
akron general Akron, OH $728.00 $0.01 – $227.63
cleveland clinic florida weston hospital Weston, FL $728.00 $50.40 – $560.00
martin north hospital Stuart, FL $728.00 $62.40 – $225.00
indian river hospital Vero Beach, FL $728.00 $68.00 – $952.00
mercy hospital Canton, OH $728.00 $0.01 – $216.00
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX $745.64 $310.20 – $310.20
Hazard ARH Regional Medical Center Hazard, KY $755.40 $87.17 – $202.65
Yavapai Regional Medical Center (East) Prescott, AZ $764.26 $101.32 – $267.90

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