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
Princeton Community Hospital Princeton, WV $154.00 $78.05 – $730.00
avon hospital Avon, OH $156.00 $0.01 – $216.00
cleveland clinic childrens hospital for rehabilitation Cleveland, OH $156.00 $0.01 – $227.63
euclid hospital Euclid, OH $156.00 $0.01 – $216.00
fairview hospital Cleveland, OH $156.00 $0.01 – $227.63
lutheran hospital Cleveland, OH $156.00 $0.01 – $227.63
hillcrest hospital Mayfield Heights, OH $156.00 $0.01 – $216.00
lodi hospital Lodi, OH $156.00 $0.01 – $216.00
marymount hospital Garfield Heights, OH $156.00 $0.01 – $227.63
medina hospital Medina, OH $156.00 $0.01 – $216.00
south pointe hospital Warrensville Heights, OH $156.00 $0.01 – $227.63
St. Mary Medical Center Long Beach, CA $156.95 $82.05 – $509.50
Braxton County Memorial Hospital Gassaway, WV $157.00 not published
Jackson General Hospital Ripley, WV $157.00 not published
Jefferson Medical Center Ranson, WV $157.00 not published
Summersville Regional Medical Center Summersville, WV $157.00 not published
Monmouth Medical Center Southern Campus Lakewood, NJ $158.07 $161.06 – $161.06
Wamego Health Center (Wamego Hospital Association) Wamego, KS $158.40 $96.82 – $368.08
Richmond Community Hospital Richmond, VA $159.00 not published
Emory Hospital Perry Perry, GA $159.00 not published
Emory Hospital Warner Robins Warner Robins, GA $159.00 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $159.06 $90.84 – $394.94
64-0881013 MBMC Jackson Jackson, MS $160.02 $122.15 – $122.68
Redwood Memorial Hospital Fortuna, CA $161.16 not published
SSM Health St. Mary's Hospital - Janesville Janesville, WI $165.00 not published
UPMC Chautauqua Jamestown, NY $165.60 $61.00 – $248.40
Henry Ford Providence Novi Hospital Novi, MI $165.76 $42.25 – $198.19
PORTLAND ADVENTIST MEDICAL CENTER Portland, OR $165.76 $102.46 – $932.40
64-0362400 Anderson Regional Main Campus Meridian, MS $165.88 $116.84 – $122.15
St. Joseph's Hospital Buckhannon, WV $166.00 not published
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL $166.25 not published
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL $166.25 not published
Uchicago Medicine Adventhealth La Grange La Grange, IL $166.25 not published
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL $166.25 not published
Potomac Valley Hospital Keyser, WV $168.00 not published
CHI Saint Joseph Health - Saint Joseph London London, KY $168.43 $67.41 – $429.52
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $168.63 $127.40 – $591.50
University Hospitals Beachwood Medical Center Beachwood, OH $168.75 $32.00 – $332.02
University Hospitals Elyria Medical Center Elyria, OH $168.75 $184.45 – $332.02
University Hospitals St. John Medical Center Westlake OH, OH $168.75 $184.45 – $332.02
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $168.75 $105.14 – $332.02
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $168.75 $184.45 – $332.02
University Hospitals Portage Medical Center Ravenna OH 44266, OH $168.75 $184.45 – $332.02
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $168.75 $184.45 – $332.02
University Hospitals Ahuja Medical Center Beachwood, OH $168.75 $32.00 – $332.02
Henry Ford Genesys Hospital Grand Blanc Twp, MI $171.78 $102.62 – $302.17
Parkwest Medical Center Knoxville, TN $173.25 $32.34 – $138.60
Barnesville Hospital Barnesville, OH $174.00 not published
St. Luke's Health - The Vintage Hospital Houston, TX $174.65 $74.00 – $499.00
Baylor St Luke's Medical Center Houston, TX $174.65 $82.00 – $499.00

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