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
MultiCare Valley Hospital Spokane Valley, WA not published not published
MEDICAL CITY LAS COLINAS HOSPITAL Irving, TX not published $310.20 – $310.20
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $89.78 – $89.78
MEDICAL CITY ARGYLE HOSPITAL Argyle, TX not published $310.20 – $310.20
MEDICAL CITY FORT WORTH HOSPITAL FT WORTH, TX not published $310.20 – $310.20
CHRISTUS Santa Rosa Hospital - San Marcos San Marcos, TX not published $275.23 – $668.61
Kadlec Regional Medical Center Richland, WA not published $241.72 – $241.72
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX not published $109.75 – $468.12
Ascension Seton Highland Lakes (Ascension Seton) Burnet, TX not published $109.75 – $468.12
Providence Saint John's Health Center Santa Monica, CA not published $427.00 – $427.00
Atrium Health Carolinas Medical Center Charlotte, NC not published $109.21 – $395.83
Atrium Health University City Charlotte, NC not published $109.21 – $395.83
Carolinas Rehabilitation Charlotte Charlotte, NC not published $110.30 – $395.83
Atrium Health Union Monroe, NC not published $109.21 – $395.83
Atrium Health Lincoln Lincolnton, NC not published $109.21 – $395.83
Atrium Health Cabarrus Concord, NC not published $109.21 – $395.83
Atrium Health Cleveland Shelby, NC not published $109.21 – $395.83
Atrium Health Behavioral Health Charlotte Charlotte, NC not published $88.14 – $232.15
Ascension Seton Edgar B. Davis (Ascension Seton) Luling, TX not published $109.75 – $468.12
Atrium Health Stanly Albermarle, NC not published $109.21 – $395.83
Atrium Health Pineville Charlotte, NC not published $109.21 – $395.83
Atrium Health Mercy Charlotte, NC not published $109.21 – $395.83
Covenant Children's Hospital Lubbock, TX not published $384.65 – $384.65
Ascension Saint Thomas Midtown Nashville, TN not published $100.98 – $100.98
Atrium Health Anson Wadesboro, NC not published $109.21 – $395.83
Berger Hospital Circleville, OH not published $297.62 – $297.62
Providence St Luke's Rehabilitation Medical Center Spokane, WA not published $358.81 – $358.81
Riverview Medical Center Red Bank, NJ not published $111.00 – $236.27
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) Hoffman Estates, IL not published $374.97 – $488.29
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) Elk Grove Village, IL not published $374.97 – $488.29
RESEARCH MEDICAL CENTER Kansas City, MO not published $242.59 – $242.59
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $231.92 – $310.20
OVERLAND PARK REGIONAL MEDICAL CENTER SHAWNEE, KS not published $242.59 – $242.59
North Central Bronx Bronx, NY not published $0.01 – $645.00
Ascension Saint Thomas Hickman Centerville, TN not published $100.98 – $100.98
Corewell Health Wayne Wayne, MI not published $104.87 – $477.99
Ascension Saint Thomas Rutherford Murfreesboro, TN not published $100.98 – $100.98
Corewell Health Troy Troy, MI not published $104.87 – $536.08
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL not published $117.66 – $117.66
Corewell Health Trenton Trenton, MI not published $104.87 – $426.34
Corewell Health Taylor Taylor, MI not published $104.87 – $559.79
Corewell Health Gross Pointe Grosse Pointe, MI not published $104.87 – $318.08
Ascension Saint Thomas River Park McMinnville, TN not published $65.21 – $100.98
RESEARCH PSYCHIATRIC CENTER Kansas City, MO not published $242.59 – $242.59
Ascension Saint Thomas DeKalb Smithville, TN not published $65.21 – $100.98
MENORAH MEDICAL CENTER Overland Park, KS not published $242.59 – $242.59
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $91.63 – $91.63
Henry Ford Madison Heights Hospital Madison Heights, MI not published $161.18 – $168.10
Ascension Saint Thomas Highlands Sparta, TN not published $65.21 – $100.98
St Elias Specialty Hospital Anchorage, AK not published $179.97 – $666.58

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