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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.

Read the full explanation →

$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
Henry Ford River District Hospital China Township, MI not published $161.18 – $168.10
Covenant Medical Center Lubbock, TX not published $384.65 – $666.58
South Brooklyn Health Brooklyn, NY not published $0.01 – $645.00
Corewell Health Butterworth Hospital Grand Rapids, MI not published $91.63 – $91.63
Corewell Health Lakeland St. Joseph St Joseph, MI not published $204.84 – $204.84
LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO not published $242.59 – $242.59
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $56.77 – $158.79
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin, TX not published $109.75 – $468.12
HCA FLORIDA PASADENA HOSPITAL South Pasadena, FL not published $118.75 – $121.25
Dell Children's Medical Center (Ascension Seton) Austin, TX not published $109.75 – $468.12
Ascension Seton Smithville (Ascension Seton) Smithville, TX not published $109.75 – $468.12
Jacobi Medical Center Bronx, NY not published $0.01 – $645.00
Elmhurst Hospital Center NY 11373, NY not published $0.01 – $645.00
Ascension Seton Northwest (Ascension Seton) Austin, TX not published $109.75 – $468.12
Southern Ocean Medical Center Manahawkin, NJ not published $111.00 – $236.27
CENTERPOINT MEDICAL CENTER Independence, MO not published $242.59 – $242.59
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS not published $320.24 – $320.24
Palisades Medical Center North Bergen, NJ not published $243.38 – $243.38
Jersey Shore University Medical Center Neptune City, NJ not published $111.00 – $236.27
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published $161.06 – $243.38
Raritan Bay Medical Center Perth Amboy, NJ not published $111.00 – $243.38
Queens Hospital Center Jamaica, NY not published $0.01 – $645.00
Ocean University Medical Center Brick, NJ not published $111.00 – $236.27
Hackensack University Medical Center Hackensack, NJ not published $243.38 – $243.38
Bayshore Medical Center Holmdel, NJ not published $111.00 – $164.16
Woodhull Medical Center Brooklyn, NY not published $0.01 – $645.00
Harlem Hospital Center New York, NY not published $0.01 – $645.00
Metropolitan Hospital Center New York, NY not published $0.01 – $645.00
Lincoln Medical Center Bronx, NY not published $0.01 – $645.00
Kings County Hospital Center Brooklyn, NY not published $0.01 – $645.00
Bellevue Hospital Center NY 10016, NY not published $0.01 – $645.00
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) Indianapolis, IN not published $17.49 – $141.38
Henry J. Carter Specialty Hospital New York, NY not published not published
Ascension Alexian Brothers Behavioral Health Hospital Hoffman Estates, IL not published $163.18 – $488.29
HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL not published $118.75 – $121.25

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