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
Bethesda Hospital East BOYNTON BEACH, FL $770.90 $271.59 – $1,067.40
Baptist Health Hospital Doral SOUTH MIAMI, FL $770.90 $12.18 – $63.00
Fishermens Community Hospital MARATHON, FL $770.90 $198.06 – $1,067.40
Homestead Hospital HOMESTEAD, FL $770.90 $167.89 – $1,067.40
Mariners Hospital TAVERNIER, FL $770.90 $205.18 – $1,067.40
Banner Fort Collins Medical Center Fort Collins, CO $821.18 $110.70 – $772.80
St. John's Camarillo Hospital Camarillo, CA $822.12 $102.00 – $313.56
Adventhealth Lake Wales Lake Wales, FL $828.10 not published
UnityPoint Health - Meriter Hospital Madison, WI $831.54 $42.32 – $346.99
WellSpan Gettysburg Hospital Gettysburg, PA $865.60 $50.00 – $230.95
Harlan ARH Hospital KY 40831, KY $872.40 not published
Paintsville ARH Hospital Paintsville, KY $872.40 $87.17 – $122.82
Adventhealth Shawnee Mission Shawnee Mission, KS $872.58 not published
Adventhealth South Overland Park Overland Park, KS $872.58 not published
Adventhealth Ottawa Ottawa, KS $872.58 not published
Emory University Hospital Ne, GA $900.00 not published
Emory Decatur Hospital Decatur, GA $900.00 not published
Emory Hillandale Hospital Lithonia, GA $900.00 not published
Emory Long-Term Acute Care Hospital Decatur, GA $900.00 not published
Emory Johns Creek Hospital Johns Creek, GA $900.00 not published
Emory Rehabilitation Hospital Atlanta, GA $900.00 not published
Emory Saint Joseph's Hospital Atlanta, GA $900.00 not published
Emory University Hospital Midtown Atlanta, GA $900.00 not published
Adventhealth Manchester Manchester, KY $907.70 not published
Sterling Regional Medical Center Sterling, CO $913.25 $126.94 – $441.35
Middlesboro ARH Hospital Middlesboro, KY $916.20 $109.80 – $202.65
Tug Valley ARH Regional Medical Center Williamson, KY $916.20 $87.17 – $202.65
Adventhealth Ocala Ocala, FL $938.42 not published
Adventhealth Tampa Tampa, FL $951.11 not published
Adventhealth Riverview Riverview, FL $951.11 not published
Adventhealth Wesley Chapel Wesley Chapel, FL $951.11 not published
Adventhealth Zephyrhills Zephyrhills, FL $951.11 not published
Adventhealth Carrollwood Tampa, FL $951.11 not published
Lincoln Health Damariscotta, ME $962.80 $139.76 – $348.21
Banner North Colorado Medical Center - Loveland Campus Loveland, CO $983.81 $69.39 – $772.80
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport, IN $991.20 $17.49 – $141.38
Adventhealth Redmond Rome, GA $1,013.75 not published
NewYork-Presbyterian Queens Flushing, NY $1,014.00 $1,233.47 – $1,293.72
Adventhealth North Pinellas Tarpon Springs, FL $1,022.75 not published
MercyOne New Hampton Medical Center New Hampton, IA $1,023.75 $65.37 – $362.00
Sanford Worthington Medical Center Worthington, MN $1,059.20 $100.41 – $233.10
Adventhealth Palm Coast Palm Coast, FL $1,062.55 not published
Adventhealth Palm Coast Parkway Palm Coast, FL $1,062.55 not published
Texas Health Hospital Mansfield Mansfield, TX $1,072.90 $307.72 – $307.72
Texas Health Huguley Hospital Fort Worth South Burleson, TX $1,072.90 $307.72 – $307.72
Texas Health Arlington Memorial Hospital Arlington, TX $1,074.90 $153.18 – $153.18
Texas Health Presbyterian Hospital Allen Allen, TX $1,074.90 $153.18 – $153.18
Texas Health Presbyterian Hospital Denton Denton, TX $1,074.90 $153.18 – $153.18
Texas Health Presbyterian Hospital Dallas Dallas, TX $1,074.90 $153.18 – $153.18
Texas Health Hospital Frisco Frisco, TX $1,074.90 $153.18 – $153.18

Related office visits procedures