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
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $107.80 $82.05 – $808.50
WILLITS HOSPITAL INC Willits, CA $108.60 $57.20 – $407.41
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $108.99 $161.06 – $161.06
Robert Wood Johnson University Hospital Somerset Somerville, NJ $112.38 $106.52 – $161.06
St. Joseph Health Grimes Hospital Navasota, TX $113.58 $77.00 – $265.29
St. Joseph Health Burleson Hospital Caldwell, TX $113.58 $52.58 – $224.47
St. Joseph Health Madison Hospital Madisonville, TX $113.58 $30.45 – $224.47
St. Joseph Health College Station Hospital College Station, TX $113.58 $77.00 – $252.35
Allina Health Faribault Medical Center Faribualt, MN $117.49 $131.06 – $668.40
Buffalo Hospital Buffalo, MN $117.49 $131.06 – $668.40
Cambridge Medical Center Cambridge, MN $117.49 $131.06 – $668.40
River Falls Area Hospital River Falls, MN $117.49 $81.92 – $1,179.38
Owatonna Hospital Owatonna, MN $117.49 $131.06 – $668.40
Henry Ford St John Hospital Detroit, MI $117.60 $161.18 – $168.10
Henry Ford Warren Hospital Warren, MI $117.60 $161.18 – $168.10
Banner University Medical Center South Tucson, AZ $117.95 $54.54 – $280.00
Covenant Hospital Plainview Plainview, TX $118.86 $238.01 – $243.86
Covenant Hospital Levelland Levelland, TX $118.86 $243.86 – $269.59
CHI Health Mercy Council Bluffs Council Bluffs, IA $122.22 $30.45 – $172.55
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $122.22 $34.51 – $172.55
Lasting Hope Recovery Center Omaha, NE $122.22 $34.51 – $172.55
CHI Health Immanuel Omaha, NE $122.22 $28.42 – $172.55
CHI Health Lakeside Omaha, NE $122.22 $32.48 – $172.55
CHI Health Midlands Papillion, NE $122.22 $36.54 – $172.55
Trinitas Regional Medical Center Elizabeth, NJ $124.82 $100.60 – $161.06
Defiance Hospital Defiance, OH $126.00 not published
Tiffin Hospital Tiffin, OH $126.00 not published
Weirton Medical Center Weirton, WV $126.50 $125.33 – $637.85
Banner Boswell Medical Center Sun City, AZ $129.02 $54.54 – $428.00
UPMC Kane Kane, PA $130.80 $61.03 – $207.32
Mercy Primary Care - Bernie Bernie, MO $131.25 $100.62 – $175.00
San Martin Hospital Las Vegas, NV $132.23 $102.33 – $445.05
Clara Maass Medical Center Belleville, NJ $132.26 $161.06 – $161.06
26-1214372 NEA Baptist Jonesboro, AR $133.57 $119.50 – $240.44
Woodland Memorial Hospital Woodland, CA $133.72 $53.68 – $488.00
Mercy San Juan Medical Center Carmichael, CA $133.72 $53.68 – $438.17
62-1166050 BMH Carroll County Huntingdon, TN $136.85 $76.20 – $116.84
SONORA COMMUNITY HOSPITAL Sonora, CA $137.02 $57.20 – $225.09
Community Medical Center Toms River, NJ $137.92 $161.06 – $161.06
Jersey City Medical Center Jersey City, NJ $138.18 $130.19 – $161.06
Newark Beth Israel Medical Center Newark, NJ $138.51 $103.56 – $161.06
Methodist Hospital of Sacramento Sacramento, CA $140.55 $96.00 – $438.17
Cooperman Barnabas Medical Center Livingston, NJ $140.91 $161.06 – $161.06
Robert Wood Johnson University Hospital New Brunswick, NJ $141.84 $161.06 – $161.06
St. Joseph's Medical Center Stockton Stockton, CA $143.18 $82.05 – $399.34
Willard Hospital Willard, OH $143.40 not published
Monmouth Medical Center Long Branch, NJ $145.50 $161.06 – $161.06
Siena Hospital Henderson, NV $146.42 $102.33 – $445.05
Bakersfield Memorial Hospital Bakersfield, CA $148.27 $101.90 – $232.00
Morrow County Hospital Mount Gilead, OH $150.74 $84.46 – $139.35

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