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
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $174.65 $74.00 – $499.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $174.65 $74.00 – $499.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $174.65 $74.00 – $499.00
UPMC Western Maryland Cumberland, MD $175.80 $293.00 – $293.00
UPMC Bedford Everett, PA $176.40 $36.08 – $264.60
MultiCare Auburn Medical Center Auburn, WA $177.20 $43.75 – $50.00
MultiCare Capital Medical Center Olympia, WA $177.20 not published
MultiCare Covington Medical Center Covington, WA $177.20 $43.75 – $50.00
MultiCare Good Samaritan Hospital Puyallup, WA $177.20 $43.75 – $50.00
MultiCare Mary Bridge Children's Hospital Tacoma, WA $177.20 $43.75 – $50.00
MultiCare Allenmore Hospital Tacoma, WA $177.20 $43.75 – $50.00
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $178.74 $0.01 – $181.33
Henry Ford West Bloomfield Hospital West Bloomfield, MI $178.74 $0.01 – $181.33
Henry Ford Wyandotte Hospital: Wyandotte, MI $178.74 $0.01 – $181.33
Henry Ford Macomb Hospital Clinton Twp, MI $178.74 $0.01 – $181.33
MercyOne Genesis Davenport West Medical Center Davenport, IA $181.20 not published
Glendale Memorial Hospital Health Center Glendale, CA $188.43 $101.90 – $462.40
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $189.19 $115.12 – $428.61
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO $189.20 not published
Mercy Hospital of Folsom Folsom, CA $189.84 $53.68 – $438.17
St. Luke's Health - Brazosport Hospital Lake Jackson, TX $190.64 $45.00 – $226.80
Wellstar Cobb Hospital Austell, GA $193.83 not published
Wellstar Douglas Hospital Douglasville, GA $193.83 not published
Wellstar Kennestone Hospital Marietta, GA $193.83 not published
Wellstar MCG Health Augusta, GA $193.83 not published
Wellstar North Fulton Hospital Roswell, GA $193.83 not published
Wellstar Paulding Hospital Hiram, GA $193.83 not published
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $193.83 not published
Wellstar Spalding Regional Hospital Griffin, GA $193.83 not published
Wellstar Sylvan Grove Hospital Jackson, GA $193.83 not published
Wellstar West Georgia Medical Center Lagrange, GA $193.83 not published
Wellstar Windy Hill Hospital Marietta, GA $193.83 not published
Aurora Medical Center Burlington Burlington, WI $195.00 not published
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO $195.25 $113.81 – $4,382.00
MercyOne Genesis Davenport Medical Center Davenport, IA $196.20 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $196.20 $68.61 – $277.84
MercyOne Genesis DeWitt Medical Center DeWitt, IA $196.20 $102.68 – $220.46
MercyOne Genesis Aledo Medical Center Aledo, IL $196.20 $327.00 – $2,970.16
Urbana Hospital Urbana, OH $196.20 not published
Northridge Hospital Medical Center Northridge, CA $196.42 $39.04 – $704.00
Beckley ARH Hospital Beckley, WV $199.80 $107.57 – $122.82
Whitesburg ARH Hospital Whitesburg, KY $199.80 $87.17 – $122.82
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $199.84 $83.09 – $428.61
UPMC Presbyterian Pittsburgh, PA $200.40 $74.33 – $253.96
CHRISTUS St. Francis Cabrini Hospital Alexandria, LA $201.24 $56.77 – $89.39
UPMC Mercy Pittsburgh, PA $201.60 $36.08 – $218.41
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $202.50 not published
St. Clare Hospital Lakewood, WA $204.37 $510.48 – $867.23
UPMC Hamot Erie, PA $205.80 $73.63 – $333.55
WellSpan Surgery & Rehabilitation Hospital York PA 17403, PA $206.40 $50.00 – $218.33

Related office visits procedures