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
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK $243.10 $221.06 – $276.54
Mercy Hospital Berryville Berryville, AR $243.75 $105.72 – $196.23
Providence St Joseph Hospital Chewelah, WA $244.30 not published
CHI Health Mercy Corning Corning, IA $245.28 $44.29 – $100.94
University Hospitals Samaritan Medical Center Ashland, OH $247.50 $184.45 – $332.02
Mercy Hospital Pittsburg Pittsburg, KS $248.30 $118.01 – $312.37
Henry Ford Rochester Hospital Rochester, MI $250.04 $61.00 – $145.51
CHI Health Missouri Valley Missouri Valley, IA $250.39 $36.05 – $100.94
St. Elizabeth Hospital Enumclaw, WA $250.54 $64.00 – $638.10
Mercy Hospital Logan County Guthrie, OK $251.55 $121.95 – $159.49
St. Luke's Health Memorial Lufkin Lufkin, TX $253.49 $83.24 – $499.40
St. Luke's Health Memorial Livingston Livingston, TX $253.49 $83.24 – $499.40
St. Luke's Health Memorial San Augustine San Augustine, TX $253.49 $99.88 – $577.08
UPMC East Monroeville, PA $253.80 $36.08 – $338.40
Arroyo Grande Hospital Santa Maria, CA $254.66 $82.05 – $480.00
64-0844470 MBMC Yazoo Yazoo City, MS $255.02 $122.15 – $122.15
Sanford Wheaton Wheaton, MN $258.40 $78.20 – $290.70
Mercy Hospital Healdton Healdton, OK $259.35 $119.63 – $307.70
Mercy Gilbert Medical Center Gilbert, AZ $260.03 $64.54 – $527.10
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR $260.28 $163.80 – $319.03
39-3714515 BMH Oktibbeha County STARKVILLE, MS $260.48 $103.57 – $273.97
Aurora West Allis Medical Center West Allis, WI $262.50 not published
Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) Saint Johns, FL $262.70 $435.30 – $435.30
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville, FL $262.70 $435.30 – $435.30
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $263.25 $116.98 – $280.55
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $264.46 $122.03 – $213.37
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $264.46 $122.03 – $210.89
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $264.46 $122.03 – $186.07
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $264.46 $122.03 – $186.07
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $264.46 $122.03 – $186.07
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK $264.46 $122.03 – $123.07
Mary Immaculate Hospital Newport News, VA $264.60 not published
Maryview Hospital Portsmouth, VA $264.60 not published
Harbour View Medical Center Suffolk, VA $264.60 not published
UnityPoint Health - Allen Hospital Waterloo, IA $265.60 $131.48 – $272.53
UnityPoint Health - Finley Hospital Dubuque, IA $265.60 $131.48 – $305.44
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $265.60 $131.48 – $272.53
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $265.60 $131.48 – $272.53
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $265.60 $131.48 – $272.53
UnityPoint Health - Marshalltown Marshalltown, IA $265.60 $131.48 – $272.53
UnityPoint Health - St. Lukes Downtown Sioux City, IA $265.60 $86.32 – $272.53
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $265.60 $131.48 – $272.53
UnityPoint Health - Trinity Moline Rock Island, IL $265.60 $131.48 – $304.79
UnityPoint Health - Trinity Muscatine Muscatine, IA $265.60 $131.48 – $276.60
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $265.60 $131.48 – $272.53
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA $265.60 $131.48 – $272.53
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI $267.30 not published
SSM Health Waupun Memorial Hospital Waupun, WI $267.30 not published
SSM Health Ripon Community Hospital Ripon, WI $267.30 not published
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI $267.33 $152.42 – $319.23

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