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
Ascension Calumet Hospital, Inc. Chilton, WI $267.33 $152.42 – $267.40
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh, WI $267.33 $152.42 – $319.23
UPMC Horizon-Greenville Greenville, PA $268.80 $81.95 – $189.08
UPMC Jameson New Castle, PA $268.80 $26.75 – $189.08
Providence St Joseph Medical Center Polson, MT $269.60 not published
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) Boonville, IN $270.00 $17.49 – $141.38
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) IN 47750|10388 Warrick Wellness Trail Newburgh, IN $270.00 $17.49 – $141.38
Ascension Providence Waco, TX $270.09 $187.24 – $278.62
UPMC St. Margaret Pittsburgh, PA $271.20 $74.33 – $211.32
HSHS St. Joseph's Hospital Breese, IL $275.04 $150.00 – $382.00
CHI Health St. Elizabeth Lincoln, NE $275.50 $126.73 – $440.80
CHI Memorial Hospital - Georgia Ringgold, GA $279.72 $94.76 – $765.45
CHI Memorial Hospital Hixson Hixson, TN $279.72 $94.76 – $661.50
45-2896080 MBMC Leake Carthage, MS $279.90 $122.15 – $122.15
California Hospital Medical Center Los Angeles, CA $280.33 $91.71 – $509.50
University Hospitals Conneaut Medical Center Conneaut, OH $280.50 not published
University Hospitals Geneva Medical Center Geneva, OH $280.50 not published
Chandler Regional Medical Center Chandler, AZ $283.28 $64.54 – $387.24
SSM Health St. Clare Hospital - Fenton Fenton, MO $287.10 $2,624.00 – $2,624.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $287.10 $2,624.00 – $2,624.00
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $287.10 $2,624.00 – $2,624.00
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $287.10 $2,624.00 – $2,624.00
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $287.10 $2,624.00 – $2,624.00
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $287.10 $2,624.00 – $2,624.00
Providence Centralia Hospital Centralia, WA $290.68 not published
Providence St Peter Hospital Olympia, WA $290.68 not published
UPMC Northwest Seneca, PA $291.00 $85.86 – $189.08
64-0682111 BMH DeSoto Southaven, MS $295.80 $116.84 – $510.60
St. Joseph’s Hospital and Medical Center Phoenix, AZ $296.05 $101.32 – $594.87
Thomas Hospitals South Charleston, WV $300.00 $107.57 – $634.28
MUSC Health Chester Medical Center Chester, SC $301.50 $168.73 – $168.73
Sanford Medical Center Bismarck Bismarck, ND $301.60 $119.55 – $339.30
64-0362400 Anderson Regional South Campus Meridian, MS $301.60 $116.84 – $122.15
MUSC Health Lancaster Medical Center Lancaster, SC $304.00 $168.73 – $168.73
Sierra Nevada Memorial Hospital Grass Valley, CA $304.66 $101.90 – $540.96
Sanford Aberdeen Medical Center Aberdeen, SD $306.40 $162.87 – $344.70
Wetzel County Hospital New Martinsville, WV $306.50 $85.86 – $198.02
MercyOne Waterloo Medical Center Waterloo, IA $307.00 $76.90 – $307.00
MercyOne Dubuque Medical Center Dubuque, IA $307.00 $66.77 – $306.00
MercyOne Clinton Medical Center Clinton, IA $307.00 $65.37 – $307.00
MercyOne Cedar Falls Medical Center Cedar Falls, IA $307.00 $76.90 – $306.00
MercyOne Des Moines Medical Center Des Moines, IA $307.00 $76.90 – $307.00
MercyOne Newton Medical Center Newton, IA $307.00 $65.37 – $306.00
Sanford Westbrook Hospital Westbrook, MN $308.80 $93.45 – $347.40
Sanford Tracy Hospital Tracy, MN $308.80 $93.45 – $347.40
Houston Methodist Hospital Houston, TX $309.50 $351.94 – $351.94
Houston Methodist Sugar Land Hospital Sugar Land, TX $309.50 $351.94 – $351.94
Houston Methodist West Hospital Houston, TX $309.50 $351.94 – $351.94
Houston Methodist Baytown Hospital Baytown, TX $309.50 $351.94 – $351.94
Houston Methodist Willowbrook Hospital Houston, TX $309.50 $351.94 – $351.94

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