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
Texas Health Heart & Vascular Hospital Arlington Arlington, TX $1,074.90 $165.48 – $165.48
Texas Health Presbyterian Hospital Kaufman Kaufman, TX $1,074.90 $210.94 – $210.94
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $1,074.90 $153.18 – $153.18
Texas Health Presbyterian Hospital Plano Plano, TX $1,074.90 $153.18 – $153.18
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $1,074.90 $153.18 – $153.18
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $1,074.90 $153.18 – $153.18
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $1,074.90 $210.94 – $210.94
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $1,074.90 $210.94 – $210.94
WellSpan Good Samaritan Hospital Lebanon, PA $1,076.00 $50.00 – $222.78
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE, TN $1,093.19 $129.54 – $129.54
Sanford USD Medical Center Sioux Falls, SD $1,095.20 $66.92 – $227.70
Adventhealth Port Charlotte Port Charlotte, FL $1,107.88 not published
East Morgan County Hospital Brush, CO $1,112.57 $191.74 – $441.35
SOUTHERN HILLS MEDICAL CENTER ANTIOCH, TN $1,114.54 $131.06 – $131.06
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN $1,126.80 $17.49 – $141.38
WellSpan Ephrata Community Hospital Ephrata, PA $1,136.00 $50.00 – $217.81
HCA FLORIDA JFK HOSPITAL PALM BEACH GARDENS, FL $1,193.00 $123.50 – $126.10
Adventhealth Murray Po Box 1406, GA $1,209.25 not published
Adventhealth Gordon Calhoun, GA $1,209.25 not published
HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL $1,227.00 $123.50 – $126.10
Adventhealth Waterman Tavares, FL $1,254.80 not published
Washakie Medical Center Worland, WY $1,282.90 $170.40 – $344.35
Community Hospital Torrington, WY $1,336.05 $156.20 – $344.35
Platte County Hospital Wheatland, WY $1,356.58 $170.40 – $344.35
Adventhealth Sebring Sebring, FL $1,485.35 not published
HCA FLORIDA HIGHLANDS HOSPITAL Sebring, FL $1,548.00 $121.25 – $121.25
Trinity Medical Center East Steubenville, OH $1,572.10 $160.80 – $1,980.75
Ascension Seton Cedar Park Hospital Cedar Park, TX $1,604.66 $109.75 – $468.12
HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY, FL $1,660.95 $118.75 – $125.00
Banner Casa Grande Medical Center Casa Grande, AZ $1,737.11 $24.00 – $90.00
HCA HOUSTON CONROE CONROE, TX $1,829.24 $263.95 – $263.95
HCA FLORIDA TRINITY HOSPITAL TRINITY, FL $1,842.24 $118.75 – $121.25
MercyOne North Iowa Medical Center Mason City, IA $1,868.30 $43.00 – $307.00
HCA FLORIDA CAPITAL HOSPITAL TALLAHASSEE, FL $1,959.50 $118.75 – $125.00
HCA FLORIDA UNIVERSITY HOSPITAL Davie, FL $2,057.00 $126.10 – $126.10
Dominican Hospital Santa Cruz, CA $2,083.05 $101.90 – $224.28
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX $2,103.85 $231.92 – $310.20
Banner University Medical Center Tucson Tucson, AZ $2,272.34 $54.54 – $280.00
AdventHealth Orlando Orlando, FL $2,300.00 not published
Banner Del Webb Medical Center Sun City West, AZ $2,317.22 $54.54 – $428.00
Banner Desert Medical Center Mesa, AZ $2,394.14 $54.54 – $401.25
Banner Ironwood Medical Center San Tan Valley, AZ $2,406.96 $54.54 – $401.25
Banner University Medical Center Phoenix Phoenix, AZ $2,439.00 $54.54 – $401.25
Banner Thunderbird Medical Center Glendale, AZ $2,464.64 $54.54 – $401.25
Banner Ocotillo Medical Center Chandler, AZ $2,493.49 $54.54 – $2,403.75
Banner Estrella Medical Center Phoenix, AZ $2,496.70 $54.54 – $401.25
Banner Gateway Medical Center Gilbert, AZ $2,612.07 $54.54 – $401.25
Banner Page Hospital Page, AZ $2,820.40 $54.54 – $421.80
St. Elizabeth Community Hospital Red Bluff, CA $2,882.63 $117.33 – $576.24
MercyOne West Des Moines Medical Center West Des Moines, IA $2,950.00 $76.90 – $306.00

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