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
Houston Methodist Clear Lake Hospital Nassau Bay, TX $309.50 $196.27 – $196.27
Houston Methodist The Woodlands Hospital The Woodlands, TX $309.50 $351.94 – $351.94
Houston Methodist Continuing Care Hospital Katy, TX $309.50 not published
Houston Methodist Cypress Hospital Cypress, TX $309.50 $351.94 – $351.94
62-1138045 BMH Union City Union City, TN $309.80 $116.84 – $116.84
Sanford Fargo Medical Center Fargo, ND $311.20 $108.03 – $350.10
St Patrick Hospital - Broadway Campus Missoula, MT $311.20 not published
St. Michael Medical Center Silverdale, WA $312.92 $446.67 – $638.10
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS $313.60 $96.82 – $303.51
WellSpan Evangelical Community Hospital Lewisburg, PA $316.00 $44.00 – $655.73
Sanford Bagley Medical Center Bagley, MN $316.80 $95.87 – $356.40
Sanford Bemidji Medical Center Bemidji, MN $316.80 $164.20 – $349.20
Mark Twain Medical Center San Andreas, CA $317.69 $71.92 – $272.44
Sanford Vermillion Hospital Vermillion, SD $322.40 $118.89 – $362.70
62-0123940 BMH Collierville Collierville, TN $322.98 $11.26 – $656.07
Marcum Wallace Hospital Irvine, KY $325.80 not published
Sanford Clear Lake Medical Center Clear Lake, SD $327.20 $146.72 – $257.40
Spring Harbor Hospital Westbrook, ME $328.45 $136.93 – $348.21
SSM Health Saint Louis University Hospital Saint Louis, MO $330.55 $133.78 – $3,508.00
Aurora Medical Center Washington County Hartford, WI $332.50 not published
64-0772726 BMH North Mississippi Oxford, MS $335.34 $116.84 – $181.00
HSHS St. Mary's Hospital Medical Center GREEN BAY, WI $339.24 $95.40 – $154.00
HSHS St. Nicholas Hospital SHEBOYGAN, WI $339.24 $95.40 – $154.00
HSHS St. Vincent Hospital Green Bay, WI $339.24 $113.00 – $154.00
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $339.24 $95.40 – $154.00
Aurora Medical Center Fond du Lac Fond Du Lac, WI $340.00 not published
Midwest Orthopedic Specialty Hospital Franklin, WI $342.38 $385.16 – $385.16
Ascension St. Francis Hospital, Inc. Milwaukee, WI $342.38 $385.16 – $385.16
UPMC Altoona Altoona, PA $343.80 $20.00 – $458.40
Mercy Hospital Ardmore Northwest Ardmore, OK $344.50 $119.63 – $307.70
Aurora Medical Center Sheboygan County Sheboygan, WI $345.00 not published
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX $345.84 $113.70 – $270.26
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville, FL $347.43 $435.30 – $435.30
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL $347.43 $435.30 – $435.30
Mercy Orthopedic Hospital Springfield Ozark, MO $347.75 $12.00 – $1,164.63
Love County Health Center Marietta, OK $349.00 $159.49 – $159.49
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee, WI $349.27 $385.16 – $385.16
Sanford Luverne Medical Center Luverne, MN $350.40 $106.04 – $394.20
Moanalua Medical Center HONOLULU, HI $351.00 not published
Texas Health Harris Methodist Hospital Azle Azle, TX $356.85 $210.94 – $210.94
Adventhealth Durand Durand, WI $361.63 not published
Southside Regional Medical Center Petersburg, VA $363.30 not published
St. Bernardine Medical Center San Bernardino, CA $363.31 $101.90 – $797.04
St Anne Hospital Toledo, OH $364.20 not published
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL $364.98 $254.10 – $375.76
Aurora Medical Center Bay Area Marinette, WI $365.00 not published
CHI Health Good Samaritan Kearney, NE $367.22 $126.42 – $559.86
Methodist Charlton Medical Center Dallas, TX $367.50 $48.76 – $338.39
Methodist Dallas Medical Center Dallas, TX $367.50 $48.76 – $338.39
Methodist Mansfield Medical Center Mansfield, TX $367.50 $48.76 – $338.39

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